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CHART NO.f ' ; <br /> evereri �`�� � � <br /> �-�-sr-�� , <br /> � ��. _� � � i <br /> � � - ' ' � <br /> City of Everett � <br /> Engineering & Community Services �/ J <br /> . . . ` -' � <br /> Sewer Applicat�or� and Perrx�it / � <br /> NO. 'ls ', lj .j DATE .��/ /, ' J — <br /> :erviceAddress �G��� j- .�� ''?• "�" � UtilityAccountNo. ' � �" � ���' �� <br /> ;�,i <br /> Billing Address " � ��� � Permit Fee /'-' <br /> ��, <br /> City, State, Zip -- " , /� ' Connection Ghargels} y''r" i <br /> - � . . � � � <br /> jU <br /> Owner (Mortgagor) f 11• �"` - � ' "T�at81 Fee <br /> Billing Name ' -�� � <br /> Connection By_ -- = "-� � �—� f,/ %` ,/� 1 <br /> Address _ Signed� �����✓"' - � �l C� � <br /> Cus�omer � <br /> Phune �/�;�` "%''�:'(� -- <br /> DESCRIPTION: Sewer District �� ��' l� � l�— ! <br /> Lot -{ Block ? <br /> c- G V Monihly Sew,:r Service_ — � v � <br /> Plat � + <br /> Unplatted Description Monthly Sewer i,onstr. ' i <br /> - Trunk - � �' <br /> Type Permit: '/._ �" � ,' ,� { <br /> ' Lateral " 7 > - � I <br /> — i <br /> Remarks: j <br /> Abutting Lot Line <br /> N, S, E, W it. <br /> � I <br /> ; . <br /> . i <br /> Approved By' '� ' <br /> / Ciry Engineer i <br /> Issued By ' _ ( � <br /> i <br /> Inspection By �G <br /> _ Date I nspected '7`/(, —//f <br /> 0 <br /> SEE SKETCH ATTACHED N�• ' ' � <br /> Y �I � <br /> r{Fy <br /> �f. . . .. . . . ... . . . ._ ..... � . _. . . . . . �� �' �M^1[i'b�^^1eeTc <br />