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� • � <br /> j everett cH�Rr rvo. <br /> , <br /> � e f��� ���� .� � <br /> � <br /> � <br /> j City of Everett <br /> � Engineering & Community Services <br /> i <br /> Se�aver Applicat�on nnd Permit <br /> N0. :' I i� �� �i DATE _1/ ''j� <br /> / — <br /> � Service Address_-- � --' i _`� Utility Account No. <br /> ' v <br /> � BillingAddress__<- '� < 5 :F- ,./ �' PermitFee �O J"` _ _ <br /> City, State, Zip ��'/� ,� � %�!_��� °1'� =c � Connection Charge�s) <br /> 0 <br /> i Owner (f�iortaagorl.��� `,4 T%v� � ,�,�1 !/ Total Fee �(J �� <br /> !�. Billing Name �/�� ///� 7/�%�✓ sf A' I 1 <br /> � .-� <br /> ( Conneciion By_! U T , �%J��= <br /> � ' L <br /> � Address''� OC/% C f'" /��'?' /J 7 Siyned �!- <br /> .! /- i ��e,-._' T:±A� /� � Cusimner <br /> Phone_ __ <br /> � DESCRIPTION: Suwei District <br /> Lot�= � Block ��f D • <br /> �. Monthly Sewer Service_ _ ` � '�� <br /> Plat { �/ �_ �" r ;� _ /-:.7� <br /> Unplatted Description Monthly Sewer Constr. <br /> � Type Permit: �'�/y=�y- � � , �.- ' Trunk <br /> .. o,N ti r �. , i.,i.• <br /> -�: r"_ �1 7c:/� T.fi� /r,-; Lateral <br /> Remarks: <br /> Abutting �ot Line <br /> N, S, E, W ft. <br /> � — <br /> — �--' <br /> Approved By--'' �� /� �'�' N / A� � <br /> _ . G y Engineer <br /> — _ ISSUBd BYI"':>- . __ . .. /. <br /> <-- <br /> i7 <br /> Inspection By��/-�G<-�r���= <br /> e <br /> -_T Date Inspected��?� <br /> F �� SEESKETCH ATTACHED N0. .. <br /> i � �.=,f'i-C i li`I ._...� . <br />