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� CHART N0. GT '- �7 -�� <br /> `` everett /��5 ��p �j' <br /> � e .w. <br /> . <br /> �, r� <br /> � <br /> I City of Everett '� ' <br /> � Engineering 8 Community Services <br /> t <br /> �` Sev�er Application and Permit : ; <br /> r_ � �, -� <br /> � NO. �' �_i j �l DATE l� i .�� ,�' � i <br /> � �j ; �/ � / !; %%%'i :- �C� Utilitv Account No. <br /> Service Address , � � <br /> `�p /f' / : / f�G-E..- Permit Fee '�� <br /> iBilling Address �"'' � ` '`" <br /> � City, State, Zip /i�--�<��f ���-��� r'yv�✓7 Connection Charge�s) <br /> .y <br /> ! �, �� ,��) <br /> jOwner (Mortgagor) � f^(• '• r' �`-'`'�'`"'2�`� Total Fee � <br /> ! / / ` � � , � <br /> Billing Name ��LL'���'!` C''�+� ;-c:`.r.:'1'' <br /> �` <br /> �/ � <br /> �:,n_- . <br /> Connection Dy - '- `� v <br /> � ',-'!�/��...I',� ; • <br /> Signed �- .. -�"c��- <br /> AC1dfCS5 Cusromer . <br /> Phone ��'l � - � �� <br /> DESCRIPTION: Sewer District <br /> Lot � 7- =�' `1r , Block��.T Monthly Sewer Service <br /> Plat_�-4. • .i.Z"`— ��c�r .. � .. <br /> Unplatted Description _Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: j��.r�". �...��-, _�T.•: �. u i . ..� <br /> — Laterel <br /> Remarks: Abutting Lot Line <br /> N, S, E, W fL <br /> i . <br /> � Approved By G /�=-, � ., � <br /> � Ciry Engineer ~ �� <br /> It _ � �' <br /> � _ . ��.'' � . <br /> Issued 8 '�' � r- <br /> � <br /> i <br /> ! c <br /> � ��������� <br /> � Inspection By <br /> I Date Inspected � �� 7 � <br /> � o <br /> �' SEE SKETCH ATTAC N0. <br /> � _, �Ngl'C!;l�lilf� <br /> � � <br />