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everetl <br />e <br />City of Everett <br />Engincering & Coinmunity S�rvices <br />Sewer Application and f �rmit <br />CHART N0. �?-z`' -� � �- �`_ <br />� �. �:lC=�, ��� <br />N0. _' � '_? ��:, �i DATE �(,� ��" i%/% � <br />Service Address -�r'� ��� - ��r.ility Account No._ <br />Billiny Address Permit Fee _ <br />City, State, Zip ConnecNon Charge�s)_ <br />Owner (Mortgagor) - _ Total Fee <br />Biliing Nam�• <br />' - � <br />Connection By__ f = <br />� <br />� <br />� <br />Address �' Signed � _ <br />Cuslomcr <br />QESCRIPTION` <br />Lot , '� `� BIoCk�-� <br />Plat J - I <br />Unplatted Description <br />Typc Permit: . ;i .. - <br />IRemarks: <br />� �•' ' � `.,� <br />_ ,' � i r� , ` ✓ S- <br />f � ;��,�j � " <br />� �� i?cc�� _'.:� .�-.� ..._. :� <br />{ <br />I — <br />� <br />� <br />i <br />i _ <br />, ,� <br />i <br />� � <br />� SEE SKETCH ATTACHED <br />; <br />. . ;��':. 1 �.t'{r: <br />i�,!" '(�', (I(���i <br />Sewer District <br />Monthly S�wer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />, �-_: <br />Anproved By-\ - J1���-� . <br />City Enginecr F <br />Issued By ° � <br />Inspection By <br />Date Inspected <br />N0. � :�'. <br />t_r<- <br />. . .. . ':kL.� _.. .. <br />