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cvcrett <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Applecati�n and Permit <br />No. 22247 DATE �/�/7� <br />ServiceAddress r r� %f"" �/u� - /G � <br />� <br />���a ��i: �-� �;�• <br />Billing Address - <br />� " � �:� . ���� <br />City, State, Zip -" <br />,�� �/�l. � �` <br />Owner (Mortgagor) ` `' �'-V� <br />�.. <br />Billing Name �'�'� ' =� <br />Connection By �� � �—r <br />Add <br />Phone <br />� 7l' .. i/ s"� <br />Utility Account <br />Permit <br />3- 3G-�»�/-oo <br />h 5�`% <br />^ <br />�r <br />Connection Chargels) <br />,�7 % <br />Totai Fee <br />�.� i � � <br />,��� ,Y <br />`:/ ; �% �'-..�C3% �v=. <br />Signed . !' <br />� % customcr <br />) ,> . <br />DESCRIPTION: Sewer District�L "--' -�— <br />Lot �� Block �..� Monthly Sewer Service_ _— <br />Plat � ' � � <br />Unplatt�d Description� Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />* INSP[CTION <br />.'.:.:a i . '��.' . .• �l�4y�`ci.-i�i�..:i�v!i; :.� at � ri'�w"� <br />Tru <br />Lateral <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved BYl /� <br />c�rv E�,g��,�_�, , <br />Issucd [3Y_' <br />Insper,lion E3y_— <br />Date <br />� <br />rv �� 4 t'-a�y a xe �3 n ..}... . . .. <br />n.'�c+ G <br />r ,.�Jl� . � '� 1 �O� r �t�({���. r' . <br />