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everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />,� NO. �_ ;.' I �;� ,� DATE ���� � f <br />Service Address �'' %• ` �� i L_,('.t... / e_ L c.0 .= <br />Billing Address '� � �= 1'�- �� f � < <- <br />CitY. State, Zip�:'_ , �. �; ,'r /. C ', ) !1 �c � � <br />Owner (Mortgagorl' • �:: .i� r �' %?;rli/,'r�.<% <br />Billing Name �/.: ���'��` <br />Connection By t�� � ; - f �"" L _ , �:: f _. � -_ <br />Address <br />/ <br />CHART N0. �' �' �_ <br />_,,%p S ,�Gr.+� <br />��_�_,_�� <br />Utility Account No. <br />, <br />Permit Fee <br />': \' <br />Connection Chargels) <br />� / <br />Total Fee ��-f� '' �-- <br />Signed <�C_c_/L %' .� /`" JSi.1�-'� � <br />Customer <br />DESCRIPTION: Sewer District_ <br />Lot � -'- Block_ � <br />Plat� - �=-1-'i , ___ �.._ " Monthly Sewer Service <br />Unpiatted Description Monthly Sewer Constr. <br />Type Permit: R L ,.'. `•� �� <br />� <br />. � <br />:.;r „ � :`r� s "�>.r•h �.i � �.�. <br />.r. �; <br />Trunk <br />Lateral <br />Abuttiny Lot i_ine <br />N,S,E.W <br />Approved B <br />i <br />Issued Bv � <br />"l . � : ; : <br />City Engineer <br />�_ , : c � �'i/ <br />Inspection By �1.•�.�+s-{^��"-�• — <br />Date Inspected � -� � 'J - % �__ _ <br />NO. <br />