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1 <br /> everett CHART N0. �.%y���" � % � <br /> r' 7 -z$-S <br /> � � , <br /> y�.�%�� - � <br /> City of Everett �.-ZD-,f �� <br /> Engineering & Comm� nity Services j� � <br /> . • )�J.J <br /> �ewer �4p�hcc�tion and P'ern•ait � <br /> NO. _ C 'J �. ,. DATE �� % � '� <br /> Service Address � ' � - ' Utility Account No.__ I <br /> Billin� Flddres�_ .' ( � �� , �,. - ' Permit =ea_ y� �'� � <br /> City, State, ZiP-- ' •Y�' • %%' - �'� Connection Char�e�sl � JU �'� � <br /> l� // � <br /> Owner (Mortgagor�� � � `% -- ��% r 'Total Fae l U <br /> Billing Name - <br /> Connection By. _- - <br /> � � J "_7 ::.- e,; �-.� <br /> Address Signed_ G�/. .-C_" .e" ,2,!��s�?�.-!� <br /> Cuslomyr <br /> Phone - / `�� /_ <br /> DESCRIPTIUN: ✓ Sewer District_ r�'� y - - / T� <br /> Lot � % Block ---- <br /> Plat ,✓� ,'i , i -_ � Monthly Sewer Serv'ce � <br /> Unplatted Descri{ftion Monthly Sewer (;onstr. � <br /> Type Permit: 'i, _ � _ ; " Trunk_ �•�� ,�'/U.r.e <br /> Y <br /> > ; . .�✓ _-:�:-. Lateral_ =' . �: ; 3�/p .v u =,, <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> Approved By' �,<'-• <br /> Ciiy Engineer <br /> r i <br /> Issued By � --r-�� � ' <br /> , <br /> _. �; <br /> Inspection By_�� � �` <br /> i <br /> g /� I <br /> u <br /> Date l nspected_�-d '�7 i; <br /> l; <br /> SEE SKETCH ATTACHED NO. i� <br /> i � ������ I1�ISPECTI01�! � � <br /> ` -'�k 1.��.. � <br /> � <br /> ,... <br />