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CHART NO^ � � �� � <br /> everEtl ' <br /> � , j- _ `_; /'c '�t— � <br /> -��;-,/,-� i { <br /> � , �� <br /> % ��1 � <br /> City of Everett \ <br /> Engineering & Community Scr:ices <br /> Sewer Application and Permit j <br /> , <br /> NO. � 2 .� � O DATE 5 ��/rr� �F'� {I <br /> z � � 1 <br /> �U�l� � � �J =�' - 7 'k�'--Utility Account No. � - i`� J' �-��/ <br /> Service Address ' � i <br /> i� i <br /> Billing Address�=1� u J�' =�. /' � "`� ' ' • Permit Fee ' - <br /> -v . ` f �.. L� I <br /> i <br /> City, State, Zip ' / ' � �`�� � Connection Charge(s�_��'�� <br /> I -,,, % I <br /> Owner (Mortgagor) �' ` '�-' " � Total Fee '` � <br /> ;� �Billing Name_ � -� � -�'�' <br /> � <br /> Connection By " " `" 1 <br /> � j <br /> Address Signed ' '' � ' � <br /> cu:tomer <br /> Phone �� �- "/ "' % <br /> DESCRIPTION: Sewur District . <br /> � Block ' � �� <br /> Lot , �. �`, Monthly Sewer Service <br /> Plat ' , �: :i_� . <br /> :%' <br /> Unplatted Description/ Monthly Sewer Constr. �/�,, � � <br /> Trunk 3' �} ��^� <br /> Type Permit: t . •� ,� j , <br /> Laterai ��' �% � � � <br /> Remarks: I <br /> Abutting Lo ne <br /> N. S(�W �"7 S ft. j <br /> I I <br /> v.� ,l,/� ' � <br /> Approved.By . .V-" : i <br /> Ciry Engineer / <br /> " l A 1 <br /> Issued By �L• —'-�=f� � <br /> i <br /> Inspection By ��`'� � <br /> i v � � <br /> Date l nspected �� � � � — �� <br /> 0 <br /> SEESKETCH ATTACHED N0. �: � <br /> INSPLCTIOta � <br /> rp R <br /> ��. ; . .�1', �� ._�(. � � . V �fl .. ���� � <br />