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� <br /> I CHART N0. �/_�-�`�'—� { <br /> G L c_ <br /> everett �. � �.� � <br /> /�/d S��'�� I <br /> � - � <br /> �'— �.C �� <br /> City of Everett ��I'�"/ I <br /> Engineering & Community Services /JC•/�-- ! <br /> Sewer Application and Permit j <br /> N0. % � r. f`I E DATE �� ._'" 7�T �� � � <br /> Service Address ✓�r � � � �"�� =-�� --^' Utility Account No. � <br /> � <br /> � <br /> Billing Address � Permit Fee �''�-'-' ' � `--�� i <br /> City, State, 7.ip Connection Chargelsl— � <br /> Owner (Mortgagor) Total Fee '-� "� '"�-�- I <br /> i <br /> Billing Name l <br /> ' r'� C +' '_'7" <br /> Connection By �-��- �� '��� — � <br /> , <br /> ; , ' <br /> � .-' •� <br />' Address ,J — Signed � � ; � �, ' -.-_ .� <br /> Cuslomer <br /> Phone__ — � <br /> � DESCRIPTION: Sewer District I <br /> Lot Block _ I � <br /> Monthfy Sewer Service � ! <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk . <br /> Type Permit: ��- r;;yr <br /> Lateral <br /> Remarks: �C7�I ' �-,�in iJ1. /�� .�'`_ ,�v <br /> Abutting Lot Line <br /> (r J�� � � N, S, E, W_ ft. <br />� - �t �;�, ,:i c� . <br /> — Approved BY ` � <br /> . City Eng�nccr <br /> i ' ' / <br />� ISSUCCJ BY . . '� � <br /> Inspecrion By ' ��� '� � <br /> G'i �Jt}� , <br /> _ Date Inspected � � _ <br /> a <br /> SEE SKETCH ATTACHED NO. <br />' ��..;5!='-:i�.l�l', ' �!!1� . _ I <br /> C <br /> ts�_�.__.._ __ . <br />