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� CHART N0�' •'�� k�--�I �� <br /> � everett _ __ �_� <br /> e � � �� � <br /> City of Everett <br /> jEngineering & Community Services <br /> : Sewer Application and Permit � <br /> ; <br /> NO. _ .' ! :_; �. DATE ��' - -- <br /> � <br /> � ServiceAddiess=-'���-�'" �/�ri!�- �i'' UtilityAccountNo. <br /> 7'L.4 .,�-/U'�' � U u <br /> � Billing Add�ess- 7� Permit Fee � <br /> � City, Siate, ZiI�'�az�'-� ���7.�/ Connection Charge(s) <br /> ' ,.JC')l-�tJ �t-:JL.�.J�GI�+ ?jp- U u <br /> Owner (Mortgagor) _ Total Fee <br /> � Billing Name `��U � �ti �-��6_�J�CI-� <br /> I ConnectionBy_�"k«-% �=.�-_>l-h-�� ci, -�,c_� <br /> � Address � Z a �-�`�'� Signed �= ' / �.( , <br /> � c��.�o�„�� — <br /> � Phone ��`��— �7-7 <br /> DESCRIPTION: Sewer District �`"'-'' t � < <- ' � <br /> i Lot_' .. '� `> Block � '-` l <br /> ; Plac �-�`�=J�t.rT- �l ' Monthly Sewer Sei vice__�" ' . `"' - <br /> � Unplatted Description Monthly Sewer Constr. <br />� � Type Permit: 1�(�v (�N�J�,r. �� Trunk_ <br /> I <br /> Lateral <br />�� � Remarks: <br /> j Abutting Lot Line <br /> N, S, E, V�.------ ft. <br /> i <br /> Approved Qy' . %�_ �. ,�;�;. <br /> Cily Enyinccr <br /> t <br /> � lssued By � ' C�� L�:- /� �-. �..,i <br /> � <br /> � <br /> i <br /> ' Inspection By ��»,c\lG��.�`,.� _J _ <br /> � a _ Date Inspected .a/�7 7 __ <br /> �- <br /> � SEE SKETCFi ATTACHE NO. _ . <br /> � 't ,tc?c5 `r• '1 .�'S:'m?"_'.,"� ILI.;f'[(`.-j'I(�f F_.,. . - . ,_,T_.__..- - . <br /> 1�� "'1" . � � . .. .. , �� . <br /> II <br />