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� CHART NO.A� � -�� � <br /> everett �� s T �;�' <br /> ► e . . . �e _ q _ � � <br /> � City of Everett ��2-� " - • <br /> j Engineering & Community Services <br /> l <br /> Sewer A►pplication ond PQrmit <br /> NO. [ r ' t; �� �� DATE _�LS��``� - — <br /> Service Address � ���_.,r���" Utility Account No. <br /> Billing Address �/ Permit Fee ' •' <br /> i <br /> ( City, State, Zip Connection Charge�s) <br /> ` Owner (Mortgagor) = - - � Total Fee ' —'� <br /> Billing Name <br /> �t r." '7_ <br /> Connection By_ -� ' '� =r'-'-`` ; <br /> , <br /> Address � Signed � u ^ ' / --�r�="''—''c'`,F� <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District_ <br /> Lot�-� ,�� Block � v.� <br /> w -, Monthly Sewer Service <br /> Plat i�/�:�4'. .i -. '�.,.._� ( �l. ,h�/ <br /> Unplatted Descrjption Monthly Sewer Constr. <br /> , Trunk_ <br /> Type Permit: �-yt.�._��,�/ <br /> :.. <br /> Lateral <br /> Remarks: � � �,f.�U EGrrzri. [i Abutting Lot Line <br /> �•c, �-r� �CGG,<Y ///O i� , c� N, S, E, W ft. <br /> —� �- <br /> .�1-��' <br /> ✓� � . <br /> Approved f3y+ �''-"` <br /> Ciry Engincer . <br /> , 7 / <br /> Issued 8y ''' ' �-�-" - <br /> . :.., <br /> inspection By ' �f�� , , <br /> Date Inspected �� — <br /> 0 <br /> SEE SKETCH ATTAChED NO. <br /> � � . � �,: ��.�Pr CT1C1�d <br /> �� ,. ..., � � •�_'°� <br /> .�.. . .�xr�:.��..._� <br /> � <br /> � <br /> . � <br />