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' CHART NO. �,`jg�"� il'r <br /> everett � 4= =i �, <br /> � � . <br /> � t1 _ <br /> City of Everett <br /> I Engineering & Community Services <br /> ' Sewer Applicatio�n and Permit � <br /> � . _ <br /> f , . <br /> � N0. ; � �; : ., DATE i: / - r �/� --- <br /> f Service Address -� � � � " - � Utility Account No. <br /> I /� °� <br /> I <br /> Billing Address Permit Fee <br /> � City,State, Zip Connection Chargels) - <br /> , �i. <br /> �� Owner (Mortgagorl'���� `� - -�� Total Fee �U <br /> � <br /> � Billing Name =: �- , �--� <br /> � <br /> i ' <br /> ; Cannection By '�� , �y�r ;a-.�� �-� : , �:' � . <br /> � � f <br /> � Address 0 U(� . {-- f ( � •_,.. ( Signed '' : % J ��. , <br /> Customer <br /> � Phone `�,�� �/9� <br /> � DESCRIPTION: Sewer District <br /> � Lot �7 — = ° Block / � Monthly Sewer Service <br /> � Plat f - � � � :i..�,�ii. _ <br /> � Unplatted Description Monthly Sewer Constr. <br /> - � J • <br /> Trunk <br /> Type Permit: L�.f`''ti ��t-�e�a�->�✓ <br /> Lateral <br /> � Remarks: <br /> I Abutting Lot Line <br /> � N, S, E, W ft. <br /> I <br /> � <br /> l - <br /> !. / <br /> A�JpfovOdBy`�l /'+���-[–>r.G.r��' <br /> City Engineer � <br /> — Issued By ---' , ' <br /> � � 1��/�, J <br /> � Inspection By �" "����`"�`"'� <br /> _ � i 7 <br /> Datelnspected <br /> �� o --' ' <br /> SEE SKETCH ATTACHED> NO. <br /> � �t`��,Pf_CTION <br />