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/ U <br /> CHART NO�—"`�'L-= <br /> evereri k � 7`_� �'- y <br /> e ��;�� <br /> City of Everett � ��� — �� <br /> Engineering & Community Services � <br /> Sewer Application and Permit <br /> / ' <br /> , , <br /> N0. _ :\ "� ',j �� DATE � "' .':,• <br /> . . � ' !)f _ � /�'- aU <br /> Service Address ��' ' � � ^•'� Utility Accaunt No. � ^ <br /> � <br /> �" .. : > ` - ; ` . �/. , ' Permit Fee l � ., <br /> Bi!ling Address <br /> City,State, Zip �%' ' / " - �%`�Connection Charge(s) <br /> 7� ��' �—r <br /> �.� <br /> Owner (Mortgagor) `� , � �--� Total Fee — <br /> �� <br /> Billing Name <br /> Connection By <br /> Signed ' L -' i G7S'`fI�'� <br /> AddfCS$ Cusromcr <br /> , .� /� -, , �� . <br /> Phone , "� i - � / - <br /> (. , � 1� <br /> DESCRIPTION: Sewer District ^ �f' / L <br /> Lot Block �' <br /> - � / Monthly Sewer Service • 5 � _ <br /> Plat ��_ � i'--�� C ' <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk �� � -�' O /0(�•OU <br /> Type Permit: ,� j_ ., " - ` - (�� -, oi� <br /> Lateral - /u =f�� <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By - � �-�/ <br /> Ciry Engincer <br /> �SSl1Cd BY '� - � 'I/�� <br /> I <br /> � � <br /> — Inspection � �/ <br /> 3 _—_— _— <br /> Date Inspected �� f� V �� <br /> SEE SKETCH ATTACHED N�• ' � � '�� <br /> �� ' � � � � <br />