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Ceverett cHaRT No. �',� — <br /> � � � � y_ c -- <br /> �o—S�`c�_/-'' <br /> , �, , <br /> Ciry of Everett <br /> Engineering & Community Services <br /> � Sewer Application and Perra�it � <br /> i <br /> N0. � i :, ; f� DATE �� _ ' / � <br /> �_ <br /> Service Address ���� , <br /> ,__ <br /> " Utility Accuimt No. <br /> , Billing qddre;s__ <br /> � --- _. Permit Fee._ �:> �"��� <br /> ; CitY, State, Zip � .-� � , _ - `� -- <br /> � '•:'". �' ;" � —� <br /> J Connection Charge(s)�_ <br /> � Owner (Mortgagor) ' _ _ , ___ <br /> v' - Total Fee '-' � <br /> � Billing Name � <br /> i <br /> � Connection By `-,_; ' ' " <br /> i: , / ...�,, � <br /> � Address_��9 ' _ ,' s� ��..- � � � • <br /> f Phone � .:. � �.- - •'✓ Signedj�/<•-`�f�(G.� �'. , � j " <br /> . <br /> �-� J Cusroir(er'�'�—��, <br /> � DESCRIPTION: <br /> � Lot ,� Sewer Cistrict_ _— <br /> ----_. Block� <br /> Plat <br /> � '` �' „ `�i Monthly Sewer Service <br /> Unp!atted Description <br /> � Monthly Sewer Constr. <br /> l <br /> i Type Permit: ..' J � __ <br /> � Trunk <br /> iRemarks: Lateral <br /> � —� <br /> � Abutting lot Line <br /> I N, S, E, W <br /> � It. <br /> I <br /> � - <br /> i <br /> j --- APP�oved By=:.. __ �: . <br /> i <br /> . ' City Enginecr' � <br /> ! -- Issued By ' � / <br /> � �--__—F--_— <br /> � —� <br /> I � <br /> �-- � <br /> � —�— Inspection By_� � <br /> � o � <br /> Date Inspected � <br /> ; \EE SKETCH ATT —�— <br /> 'r:r�:� 0. <br /> �� <br />