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CH,4RTN0.��' � �z-' �� -« ' � <br /> everett ��� ��1� � ' <br /> i <br /> � 1_/�r=�I' <br /> � o ����� � ,�) ; <br /> City of Everett � `�Qt I � ��7$ ; <br /> Engineering & Community Services I <br /> ,..,,,_......_.................. <br /> ...� ! <br /> • • • CITY OF EVERE:�U j <br /> Sewer Application and Perrr�it Engineenng Deat. ; <br /> NO. � 74 �� F� DATE � " J/� � _ i <br /> Service Address ��-' ?'! - Utility Acccunt No. -- %�" '� ' r �' ' � � <br /> � i <br /> Billing f;ddress •���� � _ Permit Fee ��-� � <br /> r: �,/ i <br /> City,State, Zip "`-�`� /G�+� J,1 %� �� Connection Charge�s�_. '""--��i � <br /> � , I <br /> , �� �,�� . , _. <br /> Owner (Mortgagor) �-`-' '!'./ �. � �• . .-,. -z./�� Total Fee �^�' • <br /> � , p, I <br /> I <br /> Billing Name -:�-�.��-� <br /> Connection By -�r� ' ----aE i.�....>_-- — / � <br /> Address �" '` '� l(• / - ,' Si�t�ed- � / �;l • <br /> i:,,:. ;� ,•r . ,,` <br /> . ' CuZmmer <br /> � 'j� � / y' �i�� ' <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot� Block ; <br /> 1 �- Monthly Sewer Service <br /> Plat ' ,r. .i..' f, !� ' ...,.��`•' / f <br /> Unplatted Description � Monthly Sewer Constr. � <br /> Type Permit: Trunk__ � <br /> Lateral <br /> — I <br /> Remarks: Abutting Lot Line � <br /> . ,,.,-, N, S, E, W ft. <br /> , , <br /> A ' <br /> Approved By .; .�.:, : ....,- -,� <br /> City Engineer � � <br /> _ �... i.' '%� � <br /> - Issued By �" , '� ' f t�.: �� _ ; <br /> � <br /> - � <br /> � i <br /> Inspection By�,�'���'�'� � <br /> � r 1 <br /> Datelnspected_�I- ��- ?� _ � <br /> a I <br /> SEE SKETCH ATTACHED NO. + <br /> � ;P.i,:.��,�1 (:71f �;.! � <br /> i <br />