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.•s �i CHART N0. �' � <br /> � everett " <br /> ; ��v ��e �� <br /> � e <br /> . � � �� <br /> � City of Everett <br /> ' Engineering & Community Services � , �_ � � <br /> � Sewer Applicction and Permit <br /> � <br /> ; <br /> � <br /> i NO. �' � ,� .�� '� DATE '�, . / . . <br /> i <br /> 'I Service Address ', —' Utility Account No. II, <br /> �; , .. <br /> ! Billing Address_ � � Permit Fee <br /> I City,State, Zip . � Connection Chargels) <br /> � / <br /> IOwner (Mortgagor) Total Fee <br /> f gi�ling Name j <br /> E r <br /> i Ccnnection By � . ' <br /> r f,: <br /> f�/� , ./' f . � <br /> � Signeo:l' / � -,//' � } .�`: <br /> � F1ddfC55 � . Cus{yfner <br /> � <br /> iPhone _ �-' <br /> kDESCflIPT10N: Sewer District <br /> { Lot� / _ ' Block �r <br /> Monthly Sewer Service <br /> � Plat � ' <br /> IUnplatted Description Monthly Sewer Constr. <br /> � <br /> � Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> I N g E Nr ft. <br /> � <br /> � <br /> � Approved By <br /> � _ Ci�V Engineer <br /> { <br /> i Issued By ' r <br /> I <br /> i <br /> i ,� �� <br /> iI nspect i o n By.�'"ue.�—�-�---/�d2'6�� <br /> �i Datelnspected�__� <br /> � e <br /> i SEE SKETCH ATTACHED NO. <br /> ri:.. <br /> I <br /> I <br /> i <br />