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��E2ry, . T <br /> � bUP� �' `� ��t9 iN.Spc�T�Y.� ,S'c�'� CHART NO.�" a '' � <br /> - e <br /> everett � ' <br /> � � , � � • � <br /> � � ����� ; <br /> City of Everett i <br /> Engineering & Community Services <br /> Q� ` i <br /> Sewer Application and Permit � � <br /> ; <br /> ' -? � 'I <br /> N0. � 7 ,j ;� 3 DATE � '`�� <br /> /' ,- ¢ _ <br /> Service Address � � � � �'"'t'`"� ' ` Utility Account No. <br /> � .� <br /> Billing Address '� � �'�r"" <br /> � Permit Fee � �% � <br /> ;.� <br /> City, State, Zip . • °' �-� �� ^'''%`� `'���'��� Connection Charge(s) � <br /> � <br /> Owner (Mortgagor) h '��•�� -''-'`�'` x-�'�-.., Total Fee � �`' � � <br /> �� � <br /> Billing Name � <br /> � <br /> ; <br /> Connection By ' <br /> Address Signed - '�� I <br /> cu:tomer <br /> 7 , .. " , '� <br /> Phone � � <br /> DESCRIPTION: Sewer District_,� ^'' '���4'��""� ' <br /> Lof� •� 4. : � Block�' �' 1 '���' � <br /> � Monthly Sewer Service <br /> Plat � � . , � -. �._ <br /> Unplatted Description Monthly Sewer Constr. � <br /> Trunk <br /> Type Permit: � <br /> ,: ' Lateral ; <br /> , .a.� � <br /> Remarks: Abutting Lot Line ' <br /> ,: � .-. ,a' '.' N S, E, W ft. � <br /> � � ,-. �.T,.... - /.�r'..�r��.. � i <br /> . <br /> .}l', ' I <br /> �- APProved By ./l�t'.o: � ..t-_- ' � <br /> � Ciry Engineer � <br /> � /J' <br /> ',:;;,�•; 1 <br /> Issued By���' ' <br /> l� l <br /> Inspection B '"""`�''J <br /> Date Inspected �/ Z�� 7� � <br /> Q i <br /> SEE SKETCH ATTACHED NO. :_ ,: ,. : :> <br /> INSPECTION � <br /> . , .. , , <br /> 5 . �: •: ' . Fv . . . _�_.n.. <br /> . .. 'x: . ' . . . :.4 . . . . ... . .,m . . .. ._ _. _ � _ _ . . .. _ _ <br /> ! <br />