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1 . . 7�� / J '. <br /> � evereft cHqRT No. � —�"-`�-�--t} <br /> � � ,f/ �° - /.'_,r., � <br /> I ��_..., � _ f ;� j <br /> i Cit} of Everett �O s ,�"L,r� <br /> ' Engineerin <br /> g & Community Services � � ZS � 7� <br /> � Sewer Application and Permit �3� � <br /> ; <br /> jNO. � I_ I ; .j DATE °> - � - ? 7 <br /> � Service Address ~ /� 1 5 •.' }��f,i �i ; �-� ,J, <br /> /-�— Utility Account No. �� -�% - Z 4 ,� - �y ( <br /> Billing Address_ � F��-�-� J��A�� <br /> Permit Fee 3,_7 ,� <br /> cicv, scace, ziP T✓�,� r_" ;; vJ,45/� 1{�30 3 <br /> —� Connection Charge(s) `�4�). . %�� <br /> Owner (Mortgagor)i�I_ � i T�� ���y <br /> , Total Fee '3p ,�y <br /> ! BillingName -`�,-r,v►L <br /> ( <br /> � Connection By n�p,1C�lJ <br /> � �sF '" -- --- <br /> Address - � <br /> /� i�_y Signed� l� ���' �', �.-,_ : - � <br /> Phone_�S 3 'J �.yy' ustomer - <br /> DESCRIPTION: <br /> Lot �� SewerDistrict <br /> — Block <br /> � Plat ��,�i•. 'T- p:�t S Monthly Sewer Service <br /> Unplatted Description <br /> Monthly Sewer Constr. <br /> TYPe Permit: `—� Trunk <br /> hr'.:. . � ' �� v.=�� ' !iJ•;/ <br /> Remarks: Lateral <br /> —__ <br /> Abutting Lot Line <br /> � "�".{ GI.J�� <br /> —� N, 5, E, W --__ft. <br /> -�'�L��-, � / <br /> � Approved By_'i, -�! <br /> .ry �. 1 <br /> ��, Cily Engincer <br /> � . �a/l�i 7 y ia .,.� �_. <br /> --- t �7 Issued By� . %.�, .- <br /> � <br /> —� <br /> � Inspection By <br /> ( <br /> � fd Date Inspected <br /> I SEE SKETCH ATTACHED <br /> �� � IM,cPC�C7�l('if�i NO. � <br /> . _ . . ,��• `}..•_.J)y.�' t �. <br /> � ,. �i. - . ^.r <br /> ���� W � <br />