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cvcrCtt -� ^J - . CHART NO.T �30'2S ""S � <br /> � � � <br /> i a'�' S�'�`/� I <br /> / ..J <br /> City ot Everett ? �Q - �� ' � <br /> �,i I <br /> Engineering & Community Services ^� <br /> f <br /> Sewer Application and Permit � <br /> No. `; �; � <br /> r_ .. I �� ;� DATE ;' � - � <br /> �-___ <br /> ., .; - <br /> Service Address ° � � ' � r <br /> � ' `- Utility Account No. <br /> Billiny Address = L���1 � ' �.,� <br /> " y '/ Permit Fee 5� -- <br /> CitY. State, ZiP '' ��f �,,r ,, �� �' , <br /> , �. 7.e / Connection Charge�s) ; <br /> Owner (Mortgagor)_"_� Total Fee �� � �=� <br /> .(I i ' y� <br /> � +(l <br /> BillingName �� + �..,� <br /> .� <br /> Connection By ����'i�� ^,�� i � <br /> Address '// , <br /> Signed ��t • �' �GKY.,, .: <br /> Phone c�,mmrr <br /> DESCRIPTION: <br /> Lot , Sewer District � % ��,,N� <br /> Rlock �' <br /> Plat -'- - ' :.t :_. . MonthlySewerService : yv <br /> Unplatted Description <br /> Monthly Sewer Constr. • <br /> TYPe Permit: Trunl< <br /> . <br /> Remarks: <br /> Lateral ; <br /> _ � Abutting Lot Line � <br /> ' N� S' E' W ft. <br /> I <br /> --��— � �> <br /> �, APP�oved By � � ,�-,.. � <br /> , city Enpinar <br /> .� �7 .,;:�c . <br /> _ . _ ISSII@d By=__/�/:'' {-'� . <br /> — r <br /> .. _ _ � � f" „ i <br /> QS� <br /> � �OS{1ECIlOf1 � <br /> � Date Inspected�/� r� � /,,}� <br /> SEESKETCH ATTACHED <br /> �' - ,--n- INSPECTinf� N0. " , <br /> rr.:�,.�.. . ,. _. <br /> -_ ._ � <br />