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r^ .(i —, �:' ` <br /> � CHtiRT NO.�- -- . , -_" v_�- <br /> � <br /> i everett ��s��.� <br /> � /—I <br /> I I `�— 2.c� -- ? � <br /> City of Everett <br /> �' Engineering & Community Services /��� '�` �' <br /> ' Sewer i4pplication and P�rmit <br /> i <br /> , <br /> � . <br /> I ;� � `� ' . . DATE 4�/i �7� �------- — <br /> ` NO. _ ,_. <br /> /� <br /> ! Service Address • � '� ��� ��'+"�' � ' Utility Account No. <br /> I <br /> � Billing Address i: �F'� Permit Fee <br /> F Citv, State, Zip � , �' � � Connection Charge(s) <br /> I ��'` <br /> � Owner (Mertgagor) �� ✓ - � _ Total Fee --..--------- <br /> i Billing Name <br /> � . �,' �- <br /> Connection By_ ' '� f � — <br /> ;� � / ✓ . <br /> Address J Signed <br /> c�s�om�� <br /> I <br /> � Phone -_ -- — <br /> IDESCFIPTION: — Sewer District <br /> Lot_ Riock Monthly Sewer Service <br /> � Plat-- -- <br /> � Unpiatted Description _ ---Mon'.hly Se�+.�er Constr. <br /> � — Trunk - <br /> l Type Permir: . <br /> Lateral <br /> � Remarks: `�yt„�� �� ,..�r c�.� / " ,-.z.r�(�c� Abutting Lot Line <br /> �� -c1.c(( �C..v � . -. r«.,�_w / � ! �t ' ��I N, S, E, W —it. <br /> IiCc�,z �, 1��P/-. �_ d ' L��'� � ' � — <br /> =t.; � . � � . <br /> J�K ' .. ' /% . <br /> .��, i -- -- ApProvedBy •''/ - - <br /> ,�1 � City Engineer <br /> --- — Issued By - — � <br /> -- Inspection By ��p �'�" �*� <br /> � Uate Inspected_�� � ' ' — <br /> n ---- -- <br /> SEE SKETCH ATTACHED N0. <br /> �� � A <br /> .�� � r��";�� e <br /> �� <br />