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evereri <br />e- <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />_ '' .--'� � <br />N0. � i' � I O�"i DATE �� <br />CHART N0�' � ��-2'�I — � I <br />������ �r/ <br />l�, - 7-3 ���5 <br />i - <br />� ;� � (J „-,.: ,�. (. . "` Utility Account No. <br />Service Address � � <br />. ; � <br />Billing Address � � � � �� � �� " � �/� Permit Fee� <br />City, State, 2ip -" l� � <%� '�'�^'l0 Connection Charge�s) v - <br />/ i. _�),• - i i�" <br />Owner (Mortgago -+='.� • ,_ !^ � '� "r ==--� �`t�Total Fe <br />: <br />Billing Name ��'' — <br />Connection By - <br />Phone �T � � / T ,�4 <br />DESCRIPTION: <br />Lot�- �"�. Block�%?(� � <br />� r �. � , <br />Plat � ' <br />Unpiatted Description <br />r � <br />' !/ <br />X_ . . . <br />� 1 <br />i <br />SCW@P�IStfICt <br />Monthly Sewer Servicc�. <br />Monthly Sewer Constr. <br />Trunk . <br />Lateral_. <br />Abutting Lot Line <br />N, S, E, W_ <br />SEE SKCTCH ATTACHEU i i <br />s:�= ti 7; <br />,- <br /><' ` <br />Approved By_-_ - �.'%.. , .- <br />C�Iy Enginr,er <br />, "� , � <br />ISSUBd BY�_ � � � - <br />Inspec <br />Date I <br />+ , 1 <br />