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; <br /> CHARTNO. � 'S �_�7�s � <br /> ever�tt ` �(,� 3Z—,�9.� �-- � <br /> � �, � <br /> ��� .5 %�' � <br /> City oi Everet* ,� �— � � � <br /> ,r � o U, <br /> Eng�neering 3� Commimity Services , t���� <br /> Sewer Application and Permit � <br /> � . ; <br /> N0. DATE 7 f� ,`.�f/,r� , <br /> Service Address ��� % �-�-; � .� =5s;� ;` � ��jility Account No. � <br /> [3illing Address Permit Fee__ -"I : -� _ _�_ ; <br /> City,State, Zip _ Connection Chargels) ----'"'� 1 <br /> �� :^ i <br /> Owner (Mortgagor��_.�_<= l' ��`'` � . <br /> Total Fee -% �-,--, `_ <br /> ailling Name <br /> rl ' �:� — <br /> f'' <br /> Ccnnection By—� —}—[i�J,.� � <br /> Address- JJ Signed (_.r:-c�;,: ( � "_.>.,, .-- -._ - ,/� <br /> Cus[omer <br /> Phone <br /> DESCRIPTION: Sewer District__r' � _ � �� � <br /> Lut_ ; > Block <br /> Plat— �-+' . /( :• �y Monthly Sewer Service <br /> Unplatted Oescripticn Monthly Sewer Constr. <br /> Type Permit �� r i; Trunk �� / 5 <br /> _�'. '� <br /> i.^.r,.•�l� Lateral �' �� <br /> Remarks: <br /> �`'� � / Abutting Lot Line <br /> .�- .t�I i�u.� c`�' /� ' CCG.a., r. � N, S, E, W it. <br /> � ,,,l / <br /> � /,-Ci ...-Jlr.zetri' :r .a,. % '�i.l�R+ Ir...�r7 , <br /> ,'�';� ,, c � F, �_.... _ .•� �''.��.,� s. a' ",5- <br /> �/ .�/. f/. ' ' � <br /> � �3.�-,..� % <br /> Approved By--' .�f <br /> �� Cirv Engmeer - <br /> rV . <br /> Issued By ✓� • ��- <br /> Inspection By ��-� _�''',�,.-.�tw.� <br /> a Date Inspected_> - 3 0 - 7 � <br /> SEE SKETCH ATTACHED Np. . !; 'I <br /> ,� , �,�. <br /> � �f-j+. . ., � � �+vF'�A4 ' j�'qD� {� . <br /> E'."":_ _ . . . . �.�'�� ��'5I� v.•'�' 1 �`.�9 � r�1::�������'� :..A <br /> ' t <br /> .: <br /> r- <br /> �. <br />