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everen <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Appl��atior� �nd Permit <br />rvo. 22385 DATE _��/.�� �� � <br />Service Addres> ��- r� � V ��f a�--"-t�'�-'� Utility Account PIo. <br />Billing Addre,s ' �-' � �-:Lj �` � C ` ' ' 4 � �'�"F Permit Fee_ '=� • �' �. <br />Ci[Y.State,Zipf--UE::k-P��i-1` <:��>C�'�._. <br />Owner(Mortgayor) J- ����-'t-- -�t"fC:f:_-Y�_ <br />Billing Name J1�-ti��t= <br />�_ <br />Comiection By� �- �•' �- <br />Arlrirncc 1 l..v` � i.,�-{ �� �� T F 1 r C. �..� <br />Phone _%`� ':: - �C'� � '. <br />GESCRIPTION: <br />Lot ��-� - �- � Block � � � <br />Plat t�_ . �::.� (:�" .• � ' <br />Unplatted Description <br />TvAe Permit: L _ L�.�� <br />Connzction Charge(�) <br />Total Fee_____'=_�_�''�� <br />; � / <br />/ G' <br />, „ ;' <br />::il i' � <br />. � <br />Signed � :,•�:/�'..%:./+ 1 � , %�l!�f�_ <br />Cusmmcr / <br />/ <br />a _F__ <br />Sewer District {` t � , � "� ' t .,� i <br />Nlonthly Sewer <br />Nlonthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By\_. ` �"4c '-_`,`t ,_._-�-, - <br />Ci;y Engincer <br />J <br />Issued F3V `--- _--__-- �—�'� s. � ,t�.,�..• <br />Inspection By.—_ <br />D.�tc Inspectc;l_, _ <br />,.,��Qrr <br />SEE St<ETCH ATTACHED N0. C. L•? �_ J <br />,.�y,K� I��SPF�_T!Cl^: ��...� �� <br />�;xc, 's�� $,r'�+►�� _ _r�; � ��� , � <br />i:. . ._ . ...� :v�:sbt %� <br />