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. __ _. ..Y . . . <br /> � CHART NO.��J�S— <br /> ( everefrt �� <br /> I ��5 <br /> � e - , � y <br /> � City of Everett �� � �/` <br /> Engineering & Community Services �/(/�' • ' <br /> Se�nrer Appaication and Permit <br /> , ) <br /> ,^ n i ' �, f / F. <br /> N0. E' C_ � .I_ :) DATE �-' <br /> f, <br /> Service Address <br /> � `j�%/ y`% /�F. Utility Account No. <br /> Billing Address�l ( `��X �G. � `� Permit Fee i1 • `--'�"w� <br /> ICity, State, Zip'�'" - 7 y£`'L.C�'� Connection Charge(s) <br /> Owner (Mortgagor) � -' �—� `-'" � � �S � Total Fee -�'�' /J �-''� <br /> � Billing Name `----=��"'�''� �-- <br /> Connection By �-7`��`"��— � <br /> Address Signed_ .'%��""`'`1,,� ,� ���'i7'�-YX� <br /> Custom <br /> _"J �J; .. ..�!� 2- '� <br /> Phone <br /> DESCRIPTION: Sewer Discrict <br /> Lot�t�.- � -% Bloc �"���-� <br /> �—�—' Monthly Sewer Service <br /> Plat ��-"F_-x"E-r"/7 /J�L.(. C_t S � <br /> Unplatted Description _Monthly Sewer Constr. <br /> J Trunk <br /> Type Permit: C.__../ � j= / % �e�// <br /> — Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W fL <br /> Approved By L '��� <br /> Ciry Enginecr <br /> I Issued By e' �-->} G �- f._1/J 2�GL/ <br /> t <br /> t � <br /> IInspection By �t�� <br /> r <br /> i Datelnspected - <br /> i ° <br /> SEE SKETCH ATTACHED NO. <br /> � li�I�Pf Cl IQ�;�I <br /> � � i <br />