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everett <br />e <br />City of Everett <br />Engineering & Communiry Services <br />Sewer Application and Rermit <br />CHART NO.,:.gJ��Z�='7`r� <br />%�a-3 %/�c�� <br />I�� <br />NO. �?(;;- ;� DATE � l./ -, -1 I <br />}� - �%; - L.��Z - CiC.1 <br />Service Address ' �� '� �� r- ` � > /'"L Utility Account No. �-' <br />.jC1 (� U <br />Billing Address �� E �(` �''� 1�"E"- �-' Permit Fee , <br />- T ', ) � ,-- Connection Chargels) � �`� � � �"� �/ — <br />City, State, Zip' "- � ' - <br />� i� ; � '_.. <br />OwnerlMortgagor) i• �h �-��./(� ������� .� TotalFec____—_-' -- — <br />Billin9 fJame ` I 1���/ r <br />Connection By ' " � � <br />Phone -' ' <br />DESCRIPTION: <br />Lat <br />Plat <br />Unplatted Descripti <br />Signed <br />( ` SewerDistrict_.�.�' � '��'`"��� -�'" <br />Block ' � � L'� <br />Monthly Sewer Service—r <br />Monthly Sewer Constr. <br />( . � =-� <br />Z � � <br />Abutting Lot Lin� <br />N, S, E, W, <br />Approved By `- ' l�� XJ�'�� x"�L� <br />City Englneer <br />Issued By_S.`=-/ ) � l• /J ( l i:�i <br />� �,_� <br />Inspection By '�� � ��'-�= �z-"-- <br />Datelnspected___ � (� r <br />NO. � <br />� .� _, . � ��, <br />w a !.'. y. h�k�q-�. � r-u . <br />� <br />