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_... . ._'_ '. _ .-.r_p . . <br /> [ ��« CHART NO,�'�'�^'�� <br /> ` everett /JO S T� 'd <br /> � � - �z- � a <br /> City of Everett J� <br /> Engineering & Community Services <br /> Sewer Application and Permit , � <br /> ; <br /> NO. f i' I� ( `a DATE //�=:�; ��� �� <br /> Service Address'��U� �r'l -� Utility Account No. �'-�-�` �"i� �� <br /> Billing Address •'�Ip,2 :-�' `r `',�;"" • Permit Fee ��' Y/ <br /> :�� ,.- . �� � <br /> City, State, Zip ^--�� � �f�" • ��"^ Connection Chargels) <br /> Owner (Mortgagor) �• '�l xe'-�' ' ' ' ��. Total Fee .�U 'I' <br /> � ,� <br /> Billing Name ��- �� <br /> Connection By ��"'-� �-�-'' <br /> � <br /> Signed :<Y f'��-��iy�^�! <br /> Address �t �re, <br /> Phone <br /> ,=. s� - ��// (�� <br /> DESCRIPTION: Sewer District ���'�' � f <br /> •�kj Si;' .�j Block `/37 ?. ;O <br /> Lot� Monthly Sewer Service <br /> J �Plat �^- , � t ..�_�_.;,-. K. <br /> Unplatted D�cription Monthly Sewer Constr. <br /> y . Trunk <br /> Type Permit: %:....� i__--, . ! r->✓ <br /> Laterai � <br /> Remarks: Abutting Lot Line <br /> N, S, E, W _. __ . ft. <br /> Approved By- - � ��, <br /> City EnBmecr <br /> . ' " .i.._- �. : <br /> Issued By ^ ' ' � � <br /> Inspection By ����'�-' <br /> Date lnspected ���Z3 1 � 7 <br /> � <br /> o _ � <br /> V SEE SKETCH ATTACHED N0. _ <br /> ;r;S F ECT I O fV "'��"'��" <br /> � � <br /> � "` <br />