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� <br /> � � � <br /> CHART N0� �"�—Z9 <br /> everefl /�� �, j`��j . <br /> .� <br /> e �-_ $ - � � � - <br /> City of Everett /�� <br /> Engineering & Community Services <br /> Sewer Apis�ication and Permit � <br /> � <br /> No. 22313 DATE �'l` �J � 1 Y <br /> . � <br /> ^Cf�� .->�{... �:�� �.�- Utility Account No. <br /> Service Address_-- �• �G� �y/i <br /> i <br /> �i%CU IG==,��' /� Permit Fee <br /> Billing Address � �-�'� <br /> ;/ ��u , �..� G Connection Charge(s) <br /> City,State, Zip //� :%�' <br /> �i (,�(i i�/ Z ,;L- ,•� Total Fee �L" j <br /> Owner (Mortgagor) � <br /> .�'.�?y;,_ . L/ • <br /> Billing Name <br /> ,- _ ' ,�- __ ' , ,' �.�v _-- i <br /> Connection BY ��'��- ,"`,—" . " . <br /> ��C��/ ,'l�� '/ � . Signed �• _c 1% - <br /> Customer <br /> Address .cy...:: .:; 3 <br /> '�?.. :. / . �r. , �. <br /> Phone��� <br /> $ewer District l <br /> DESCRIPTION: r � j .� . ; �_ <br /> Lot-'`�" � l Block�-- Monthly Sewer Service <br /> ;� . � �'.J. .,, :•i_ <br /> Plat Montl��y Sewer Constr. <br /> Unplatted Description <br /> Trunk <br /> ,. <br /> Type Permit�?/. . i..,•-. . , = �",: .� Lateral <br /> .�—=, `� / . <br /> �.L.c.l,, '�� ,i-�v <br /> Remarks: Abutting Lot �ine � � ft. <br /> N, S, F, W <br /> � <br /> � <br /> qpproved B�' ,� . , <br /> Ciry Engmeer <br /> Issued BY� � <br /> i <br /> ! ��-.._ `�s(/ � �.�✓ � <br /> Inspection By <br /> Date Inspected � �— <br /> p NO. � c� ``. � ��' �. <br /> SEE SKETCH ATTACHED INSPECTiON <br /> .; .._,_. .- ,. . _ <br />