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_ ' - � �— <br />. ^ <br />everett <br />�e <br />� <br />; <br />City of Everett <br />� Engineering & Community Services <br />� <br />� <br />� <br />� SEESKETCH ATTACHED <br />, <br />' � <br />Sewer Application and Permit <br />, <br />r � � � r� .J,�: .: .�� / <br />CHART NO.��T--g'�� <br />..� <br />/�� s� = r' - <br />�_,�=�� <br />�� , <br />NO. t I_ ��� E DATE ' — <br />Seruice Addre ss -" �`� �, ' � � Utility Account No. <br />n:i� <br />Billing Address <br />r"� ,� � � Permit Fee �`�� <br />___-�r <br />City, State, Zip _ �Connection Chargels) ^ <br />., , <br />0•vner (Mortgagor) � ' Total Fee %" <br />% <br />Billing Name ` <br />Connection By - � '�' <br />si9nea i��ll( � <br />iiddfC55 _ _. �COs�amer <br />v <br />_. / � <br />DESCRIPTION: <br />Lot � <br />Plat _ <br />Unplatted DescriE <br />Sewer District___ <br />1 Manthiy Sewer Service_ <br />Monthly Sewer Constr. <br />— Trunk _ <br />T....n Pnrmit• . . _ . . <br />i�: �,,. <br />Abutting Lot Line <br />N,S,E,W. <br />Approved By % <br />City Enginecr � <br />Issued <br />Inspection By 't l�iv"l�'Z�-- — <br />Date Inspected -��� —/'yd' <br />NO. <br />