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� � ';HART NO.�� � �' "� <br /> � � <br /> � everett I �ad S ���/] � <br /> � e � <br /> , <br /> � City of Everett <br /> Engineering & Cammunity Services <br /> � Sewer App�ication and Permit <br /> " " " �' � DATE �/,S �� � <br /> NO. <_ .'•_ J .. �_ � <br /> Service Address -� �� � �' "" �� ' �� �t Jtility Account No. � ^K�'' - - �/- �� U ' <br /> U���� <br /> / ��� <br /> � ���� • Permit Fee J <br /> Billing Address ��� � � '� ° �� <br /> City, State, Zip � 1> �-"� ���� ��(a�� �` Connection Chargels) "`���y <br /> j � <br /> o� <br /> Owner (Mortgagor)iI�`� ' � � '� �� " • ✓ Total Fee_ -�� <br /> Billing Name �- ' � v� <br /> Connection By •--�--� !1 \) <br /> Signed ''� � Jl/i'ir� ��/r+i�-��r%'� <br /> Address -- a�,�om�� <br /> Phone ��5 � '�;G 7 _ .� <br /> DESCRIPTION: 6ewer District �C� ' �" � '�--- � <br /> Lot '��3 -- Block - MonthlySewerService �'� ' � U <br /> Plat �l� � �. . ��_e_<�,,.� <br /> Unplatted Uescrip, on Monthly Sevder Constr. <br /> � _ � �� Trunk �• �sJ <br /> � TYPe Permit: �'„�„Z.� :-,. , /. ,- ' ✓ �,_r-.� <br /> Lateral <br /> � Ren;arks:— — Abutting Lot Line <br /> N S E W it. <br /> I - - <br /> i • <br /> � _ ��/ <br /> Approved BY i r"`'"`"' `'�' "",- <br /> - Ciry Engineer / <br /> ISSUBC� BY ' : .-r-" .i.___. <br /> i <br /> f 7 r <br /> ! / <br /> I Inspection By_, <br /> �(/ .� ��- ,ti <br /> � -- Date l nspected___��t��— <br /> � B — <br /> SEE SKETCH ATTACHED NO. <br /> � _: �, . <br />