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everetl <br />�N <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Applica�ion and Permit <br />�_.fif� �.� . - c. � <br />CHART NO.k- '" L. `-"-' � ��' � <br />—e- . i''_— .. <br />N0. ��,' ( �i ; DATE --� I! c J + � � <br />! <br />Service Address ---Li � � � l� Cit �: � Utility Account No. <br />BillingAddress_ ==717�•�� PermitFee <br />CitY, State, Zip - ✓ � � �<" ' 1 c`_.� { <br />L . G...�� � E- t7� <br />Owner (Mortgagor) t-- "� '�' /: �� � � <br />BillingName --=�'+�`" <br />Connection By �= ��� �`� � L <br />Address �-�l.a �. l �C l t G�C L. iG <br />_'� <br />Phnnn U � � �'. C� ( �- <br />DESCRIPTION: <br />Lot ` f .' � :- Blocrk " -- <br />Plat � �: t 1->���-�� 1`..,'7"_ <br />Unplatted Description <br />Connection Charge( <br />Total Fee <br />`� U <br />� <br />� �- <br />Signed . . _ <br />Cusiomcr <br />SEESKETCH ATTACHED <br />., , <br />g : rv ermm, "• KKt �;� `", �,� <br />�, tvy � .� y4'� ^ \ il <br />Sewer District__ <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By """ .I �:;iJAJ! /JCf <br />Ciry Engineer <br />Issued By � �/� LG-�[JfJ:U/�,� <br />. <br />i7 ' <br />Inspection By�� :� � %•,�..�� <br />Date Inspected�L ���7 <br />NO. , <br />r�� `�`�sa i�'g'�'�',., y.4 ,:d�',.,-, <br />� �. � . .. . _. . . . , t <br />