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CHART N0. ��/ –1�`5 <br /> everett .., r... �j <br /> � -.- � <br /> �� � '� � <br /> �2�$l � �' <br /> City of Everett , <br /> Engineering & Community Services �,�/�� <br /> �V <br /> Sewer Apy�l��ati�r� �nd Permit <br /> N0. , ;,' :; ; .' DATE � <br /> , :'. <br /> Service Address i '-' -� '' Utility Account No. <br /> Billing Address �� �` _ Permit Fee <br /> City, State, Zip - . �1 .' Connection Chargels) <br /> Owner (Mortgagor) i" Total Fee _— — <br /> Billing Name �' <br /> Connection By <br /> Address Signed _ <br /> r.��,����„��� <br /> Phone " � !� j ' <br /> DESCRIPTION: ' � ' � �' Sewcr Disvict ___ <br /> Lot _ Block r� "- <br /> Plat " � "%� Monthly Sewer Service___ __ _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk ___ <br /> Type Permit: <br /> Lateral <br /> Remarks� <br /> Abutting Lot Line — <br /> N, g, E, W tt. <br /> Approved By � <br /> Cily Enyina��r <br /> Issued By — <br /> Inspection By ��l� <br /> _ Date Inspected�"' _�� <br /> 3 <br /> SEESKETCH ATTACHED Na• <br />