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_, <br /> CHART NO. ' �` ! � ' - � <br /> everett _�,l �,`�(� I ��% �� � <br /> e � _ <br /> City of Everett I <br /> Sewer Application and Permit <br /> NO. L4955 DATE _,�G�/S��7 � <br /> z <br /> // 0 <br /> Service Address J"� � "2 '�� � Utility Account No. � <br /> � � / /� e-E'j rn <br /> Billing Address ��� � /�,A-��~ r�' Permit Fee <br /> City, State, 2ip � 1 , v'U � Connection Charge(s) � �+ <br /> /o `e� .. � <br /> Owner (Mortgagor) � �� ���'Q— Total Fee c o <br /> . I m o <br /> Billing Name -i � <br /> o � <br /> m <br /> --i z <br /> � Connection BY m � <br /> I Signed •� � <br /> p,dd�eSS Cusmmcr <br /> �s� - ��Y3 , �� <br /> Phone i � '^ <br /> < <br /> DESCRIPTION: Sewer District II � D <br /> Lot Block Monthly Sewer Service I m � <br /> � Plat `� <br /> Unplatted Description Monthly Sewer Constr, i c N <br /> TN <br /> _ Trunk Z � <br /> Type Permit: ;� m <br /> Lateral � <br /> -i <br /> Remarks: Abutting Lot Line = <br /> v <br /> � /� �GL C e Co v c. �� y C. N, S, E, W ft. z <br /> E' -i <br /> � <br /> � _ <br /> 0 <br /> r'- � %,, � � <br /> Approved By r m <br /> Ciry Engincer <br /> r[�I / (/�/�/� <br /> ISSl1Cd By (J L,' "" II <br /> • <br /> I <br /> � <br /> — Inspectian By G� 'r"`-'r'/1'�3" <br /> Date Inspected!o - iL �y , <br />' SEE SKETCH ATTACHED N�• Z4955 I <br />,, � <br /> a.:;��rc,�io�� � <br /> � <br />