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everett <br />_=___1 <br />City of Everett <br />Engineering & Community Services <br />Sev�v�e �����ca�o�� ��ad ��a��s� <br />, <br />N0. ��I u � � DATE '� `%�/� <br />Service Address— ���% �,Y-�' - ypti�i�Account No. <br />Billing Address „� - �, e �/ %�' permit Fee- %!i �� <br />City, 5� <br />Owner <br />Biiling Name _-.tir„1�.l��r�o �. _ <br />Connection By_�'_s,�y:t2_ <br />Phone- � �� � �� � � � _ <br />1 <br />DESCRIPTION: <br />Lot '/y� Block <br />Plat .�K���l�-�� �,•"� <br />Unpiatted Description <br />Type Permit: <br />Remarl<s: <br />SLE SICETCfi A7T/;CH�D <br />�_; ,ii:�� <br />Connection Charge(s) <br />��-- <br />Total Fee 1 `� <br />� � � <br />� � .. ..--�� � �;• ------. � --r� <br />Signed � . - '' C: ± ' -`L:; 'i.': / <br />� Cuslomcr <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, [, W_, <br />� _ <br />Approved By .. _.._ /;�.-, .. , . <br />Gry Lngmcer <br />Issued By _ ,.�_�� f <br />Inspection <br />Date Inspccted_ <br />No. Z1S�� <br />