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. <br /> �' CHARTNO. �� 'zo "Z9-',5"� � <br /> everett . � , l r <br /> , � <br /> e t :-: ; . <br /> �� <br /> � <br /> . , , �,�� � <br /> � � <br /> � <br /> , � :, , <br /> City of Everett ` ' <br /> Engineering & Community Services � ' <br /> Sewer Application and Permit ; i <br /> i a <br /> N0. � 2 �} 2 %� DATE � � J� I i <br /> Service Address �` ��"` � ��?�� ��� Utility Account No. { <br /> y` � <br /> Billing Address _ Permit Fee �--' <br /> City, State, Zip Connection Charge(s) -J�_ 1 <br /> i <br /> Owner (Mortgagor) Totai Fee - _ � <br /> I <br /> Billing Name 1 <br /> � � / � , . <br /> Connection BY � ��—'� �;- <br /> , � <br /> Address � gned ( � --�.r � � `' �, <br /> � Si ..�-r -r�_�z..z:+<.--. <br /> Customcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lat Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr, <br /> _ Trunk <br /> TYPe Permit: ��.��=.!.l,z_� ,., <br /> Lateral <br /> Remarks: (�/ ' i�<. i; r,� ;c>' : � il, . <br /> �, Abutting Lot Line <br /> � !�c f� N, S, E, W ft. <br /> � <br /> � � %���.?C c= Q �- ..3 � . , _ - ,'- S�ef" ,. � � /� � <br /> •Approved�By - �,,,( G, . � <br /> �'•=:�� ' CitVEngineer / � <br /> � l. <br /> Issued By ^ � <br /> i <br /> � , � <br /> Inspection By = : •' `/ � <br /> Date Inspected �" �', ` ��� � <br /> 0 <br /> SEE SKETCH ATTACHED NO. j <br /> �, :. i.'i t;i lr ; � <br /> � <br />