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r <br /> CHART N0. � � ' <br /> � everett <br /> ' �e s 7'�C� <br /> � e � _ _ . _ � � . <br /> City of Everett � �t.� <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. ;7 � ?j v j DATE �/ I��� 7 <br /> I <br /> � , • � ;, <br /> Utility Account No.= ' " � ' <br /> Service Address �'%1�-2 %I-�� -r<,.- /:� , •= � - � <br /> i <br /> Billing Address �S'�� /� L�. ,��.-� • Permit Fee -% U <br /> '. . c.� <br /> City, State, Zip - �� ". � ,'t%�✓ �,�0,�G� Connection Charge(s)_ -/O ' � 7�`�/�J <br /> Owner (Mortgagor�.'-�L � - '� Tota� Fee _%�� cl <br /> 6illing Name --::�-: « <br /> Connection By -`-- <br /> Address_ �`•'� U.1 l. �� . '`1 � ` <br /> Signed � CL �., �l t �l E�'t.� <br /> Cusromer � <br /> Phone 77�' i `�� S� <br /> DESCRIPTION: Sewer District � � /, O�'q %L- <br /> Lot ��% Block , <br /> Plat._ �/ i;Cci. j�� .. � Monthly Sewer Service � • -�� i <br /> ( Unplatted Descriptio _Monthly Sewer Constr. <br /> ( , . � — Trunk_ �• /�'`� <br /> I Type Permit: �� � �_ . _ � <br /> ` Latera I <br /> Remarks: <br /> Abutting Lo[ Line <br /> N, S, E, W_ ft. <br /> I -- <br /> � <br /> f — , , <br /> .; <br /> Approved By �-G�.� .�`✓ c=, :- � �. <br /> Ciry Engmeer <br /> I <br /> � �-` . � � <br /> i <br /> , Issued By !`,��:_ -„c.c_�.�. __.,'r�:, <br /> ' Inspection By � �_��L�%t ' _ <br /> � Date I nspected_/1?f �fi <br /> i e � , , <br /> ; . <br /> � SEE SKETCH ATTACHED N0. �� <br /> ' r;Nf �•i � � <br /> i <br /> � <br /> � <br /> � _ i <br />