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� � lV., N,-...- J- - - , - <br /> ., ,v �a-' ` �� CHART N0. �" _' '•/� , <br /> i <br /> i everett _ � _ <br /> � ! , � v ��. ,) <br /> i � nLL : � _. ._. ,. . <br /> i <br /> � City of Everett <br /> i Engineering & Community Services <br /> ! Sewer Application and Permit <br /> ; <br /> ; <br /> ! NO. . �i ( ( .'� DATE `�� l''�"� � - -- <br /> � Service Address %��-� -- '" � � `� �-�- '= �-- Utility Account P�o. -- ='`�' `- =-'�-�-�� <br /> G l, <br /> � Billing Address � �_�( U`i E-�F.t.'- `1 CI J L. _ Permit Fee =-'v� <br /> � City. State, Zip�- �•'�=-�' �f � r� � Z.C=Q Connection Chargels) `{ S� �' (�u ��S `� ' <br /> 4' Jc„����..; �<,�x�. `.. -�.. ..�, �rc, <br /> Owncr (Mortgago � - Total Fee___�-_ _ <br /> � Billing PJame_�='��,'', �- <br /> , Connection By_ �A^"� _ <br /> � <br /> � �:� ` , <br /> t Address �... <\ti�'� Signed � .6'_� '. ��.,t� <br /> � _ — c�:,a�— - <br /> Phone :. � .�� - C 'h Z a <br /> � DESCRIPTION: SewerDistrict"=>; ��L�-'�� � � <br /> � Lot _ Block rL ��i Y <br /> � Monthly Sewer Servica ' <br /> � Plat _ <br /> fUnplatted Description I k'r�-':' � k�`=��t-�:=b2 ��uu �- Monthly Sewer Constr. <br /> � Type Permit: +J�v1�'`r , Trunk �- � �� �� <br /> �.c»�uL-c'-r c <br /> � L�teral L �� <br /> � _ <br /> � Remarks: <br /> � Abutting Lot Line <br /> � _ _ N� S� E� W— - ft. i <br /> I I <br /> � <br /> � — — APProved By � � {�t=_l.`F.) I �J� <br /> t _ Ciry Engineer <br /> � Issued By L • �'��-L � r'��'�+ _ <br /> I <br /> i ,�� <br /> � Inspection By—,a/��- �� _ <br /> f __ Date Inspected�.�J�lo�7,Z <br /> ' p � <br /> '. : KETCH AITAC N0. ; �% <br /> � ._. ,....�,�-(`Tinp: <br /> , - ., , - _,.-.. _,- T',-3_. __- --� -4a�Fr,z^^'— <br /> � _,-, ..._ ,�.._. . _.'_' . . . ...._ . . ., <br /> _. . ,,. '.. :.rw -r„ _ <br /> � ^ea� . � , . , <br /> I .. � \4 . . . . . <br /> . � .�.1 ,k .e •»-� . ..� <br />