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� <br />��tY of Everett <br />E <br />�9ineenng & Community Surv�ces <br />5ewer ApA�ication cse�d perm�t <br />rvo. 22635 DATE �•�: - ;+- �� <br />Service Address � <br />`%�l i./�. : : ` � � <br />�-,_,. <br />BillingAddress�0,.�'' /�rr <br />T f_ <br />CitV. SWte, Zip - =' • � � <br />�..�`" �' ' Yr <br />Owner (Mort a or /� / ` 70 <br />9 9 1 �r .-/.%./r ( � <br />Billing Name _�-��v <br />.�,. _ „� <br />Connection By _ <br />Address <br />Phone�; f,�- y .°/ 1 <br />DESCRIPTION: <br />Plat`�— B1OCk� <br />�J � . ^"� %/ i � <br />Utility Account No._� <br />Permit Fee_ _ 'i� <br />Connection �-- <br />Chargels) <br />Total Fee -, ��� <br />r_ . . <br />� � n <br />Signed ��_ ' " : • - <br />_ •,.:. , �, <br />�_i �. ; f/' <br />,'/ cu:tome, <br />Sewer District_ % � �� <br />i, <br />Unplatted Description Monthly Sewer Service <br />---� Monthly Sewer Constr. <br />TYPe Permih ; � _ � <br />Remarks: <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />� <br />Approved By� • � <br />� i ' <br />, ��v E B necr j <br />Issued gy �~ � � � ! <br />-�----j�A- 1 <br />� <br />Inspection <br />SEE SKETCH ATTACHED ""'N`cieu <br />� <br />�. , - .:_. _ � IN�Fr,-T�ON rvo � a � � r, <br />�l!rrs�n'.,^------_ - - , <br />