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r CHART NO.��t� �2�"� <br /> everett � <br /> , � _ ,�a, s-;.�_ ✓ <br /> e �- � Z �; -- � � <br /> City of Everett � /J tf.�/ <br /> Engineering & Community Services <br /> t � <br /> \. <br /> Sewer Application and Pe�mit � <br /> . <br /> rvo. ?_ �� 3 � �� ��� I <br /> DATE `1 �LI7 E , <br /> Service Address �L'� Ct k-�t--r�tZ-�-�-t r- Utility Account No. <br /> BillingAddress�-U� "1 L�-`G.��r"7 t t=�. permitFae ��=�E- <br /> i <br /> City, State, Zip�--���-�7�' � �'=�'--G � Connection Charge�s) <br /> Owner (Mortgagor) Total Fee � �- ��- I <br /> Billing Name <br /> Connection By �j1� �='� �-��=�1'f <br /> � <br /> Address Signed �--�-�-��- ,�k=-C=`-= ��� (� <br /> Customcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ Block — Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: � - - Trunk � <br /> ��� i�� �� <br /> Latera I <br /> Remarks: e�ZdlR�('t .nceu " �" rs--cf�.• <br /> � Abutting Lot Line <br /> -- [(i �-svi-c2-aw �cZEti�c{.. �! � � � N, S, E, W ft. <br /> /� /Jd . �.�2 u " '��.5� <br /> Approved By � � � t �-1�-% !->� f�J�( <br /> Ciry Engineer <br /> Issued By � �-��L�- I\ -t'1� ,(J <br /> �-(it.t_.� .�`"J—,-{_.,'„LA-�—r� � <br /> Inspection By � " � L� � � � � <br /> Datelnspected <br /> o � <br /> SEE SKETCH ATTACHED N0. <br /> �pJ8PCC11(lt! <br /> ._. i <br />