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���' . � ,, , i . <br /> , everett '� �i( � s� - �, ; r CHART N0. �• ��� <br /> � <br /> I � �•d <br /> � �o f 7rL- <br /> f City of Everett � <br /> Engineering & Community Services ^ � r � �� <br /> ! S�n�wer Applic�ation and Perrv�it �'"�• <br /> � <br /> � <br /> � NO. �; `� ' l DATE 4 <br /> _i <br /> i _ <br /> Service Address�� J�'��( _ 1 � -�_ - � " - <br /> ' \` '�� � Utility Account No. - "-:4- <br /> BillingAddress ��C1 1';r � ` L' <br /> .�c�; � '� <br /> Permit Fee -�. Q. �' �� <br /> i CitY, State, Zip �' .t. -� . Zi `s>F--�, � I <br /> Connec[ion Charge(s) '-�-c�`;�` «"' ('� �� (� J <br /> ' Owner (Mortgagor) �.- ..:�,'�- � �� i ._ � �_�' <br /> Total Fee _; [:). l�C.� <br /> � BillingName 1�,. ,..,� <br /> i <br /> j Connection By J� �-. , �; � „ - <br /> � - - ==�.,�., � <br /> � <br /> ' Address� �''7 > Z -`"�q r Il � <br /> � t��=� ��—�__ Signed`�� .��-rh�-� ..� <br /> � Phone_ -- _=1 '1 /f r ,1�•2.c._-- :fr.�-�-/ <br /> - '-{-�y.�C.� � Cusibmer <br /> I <br /> ' DESCRIP'fION: <br /> � Lot --��:.' � 1 � SewerDistrict :� � I�c:�..�. , Li__l-._ <br /> -� Block�� <br /> iPlat ( �.., - -�, �� _ Monthly Sewer Service �z• `•�U <br /> U�iplatted Description <br /> iMonthly Sewer Constr. <br /> TYPe Permit: F w <<- <br /> �.( / / <br /> , l � 1l.'.�.,C_LZ � (.4c"' TfU(1�C ' G-. � J <br /> IRemarks: u`'S �Lateral ��, 7 � <br /> � <br /> Abutiing Lot Line <br /> N, S, E, W_ <br /> � ��ft. <br /> I <br /> � APProved By �- �-� L.�..;ti,i,�l <br /> ' City Enginecr <br /> Issued By�>_�` ,* , ,_.�� � <br /> � <br /> ; Inspection By � �i ZZ <br /> � � �Datelnspected <br /> � SEE SKETCH ATTACHED - <br /> , 'NSFLCTION NO ' <br /> ;.,a;�i„ I. <br /> 4 '- e_ , . � ,..� � v�''e;"�:" <br /> .. . .... . .3-. _.,w . , <br />