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� , __ _;-. - . <br /> � . .�r:. ' ' .. . ,,t,. <br /> '' � . _ . . . . ij`�`, CHARTNO. ; � <br /> \ a� <br /> everett _lL` ,, ?�'I E - — � <br /> .,�,_ 3 1978 r"',1 -�S S'r 1 <br /> R........._._ ..... ec � ) ' <br /> CITY OF EVERETT V f�.eD� /�6/7� ; � <br /> Engineerinp, Dept. 6�% <br /> City of Everett <br /> Engineering & Community Services <br /> Sewer Application cnd Permit � <br /> , <br /> , <br /> N0. ! ( ;{ U I DATE %,i� ••,�/rl <br /> , .-. <br /> .� <br /> Service Address_���� � ` --/ Utility Account No. __ <br /> � ��� U_/ ( <br /> Billing Address ��� � � _ Permit Fee ;�Q _ <br /> a <br /> � -�� ;� � <br /> City, State, Zip _ �/ �' • �'`- '='� Connection Charge(s) _ <br /> ^ ''`-- I <br /> O�vner (Mortgagor) - �'-�� -- - : � Tota� Fee �� <br /> Billing Name "C�F ' '- `—� - i <br /> , / 1 <br /> / � <br /> Connection By �. � ,Fl� -'^�� / /�° ' �`�r ! <br /> f ' , �" �, ,. � 1 <br /> Address ����� r � ��! �y � , Signed ' A'/ �'' � " "!{ _ 3 <br /> - �- Customer � <br /> Phone � �/ . `��� `� "l,:;. I� j <br /> DESCRIPTION: / Sewer District l _. � <br /> ��� � <br /> Lot � Block i �� _ � <br /> P�^t _ / . � _,�.- Monthly Sewer Service_ <br /> Unplatted Description Monthly Sewer Constr. � <br /> — , rrunk _ i <br /> Type Permit: � <br /> �°' � <br /> Lateral_ _ � <br /> Remarks: � <br /> — Abutting Lot line <br /> __ N, S, E, W ft. ! <br /> � i <br /> . I <br /> Approved By _ -tJ'- � <br /> ' City ngincer // <br /> :' ! <br /> - Issued By : � -<�'" � j <br /> � <br /> � I <br /> �� � <br /> Inspection By ' -a�' `- � <br /> v ��/, <br /> Date Inspected �'h` 2 � -' �� _ ( <br /> o � <br /> SFESKETCH ATTACHED NO. 1 <br /> ����■ i <br />