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CHART NO.����� � <br /> evereri � <br /> e - -� �r$� � <br /> � ,. . _ a <br /> �-jr/Tl� � <br /> City of Everett r��}�,�) � <br /> Engineering & Community Services � �' <br /> . . . � <br /> Sewer Applicat�on and Permit <br /> , <br /> � : r /;� - �rs � <br /> NO. Z � : .a ( DATE � - � <br /> Service Address � �� ` � � �! r - 'l �"'{1�ility Account No. 1 � -�y' `� ���' "� � <br /> Billing Addre�s�" ����� � � �` y t"� ` � Permit Fee J � � ! <br /> j�� <br /> City,Stat:, Zip�/°- �< f-. . r :',�i,�:� • f�!�3i ConnectionCharge(s) ��a I <br /> � ' � , r- <br /> OwnerlMortgagor) �'�""- �� %v�' .-' - TotalFee J�� � <br /> � . <br /> Billing Name _ ' `�' , <br /> Connection By J �-"� -"� i � <br /> � �� J <br /> Address Signed �-%�ti*,r i- .�;.. �>'r', i <br /> ' � � Cusmmer� . i <br /> Phone �� i�- � 3� I _ , , <br /> DESCRIPTION: ;� � 3 SewerDistrict �' T '•-y'' / �-LL � <br /> �. �,:,.. - � / <br /> Lot _ � Block /� MonthlySewerService -�7''�.' f � <br /> Plat '� t'r f w/ � <br /> Unplatted Description _ Monthly Sewer Constr. <br /> '�`, ' Trunk �� 3'D -7-'�'�O 1 <br /> �• � i, _ <br /> TYPe Pennit•. ;I,�:� c_. ^ - , � ._: - u <br /> Lateral /' �I >'ik. 30 � <br /> Remarks: <br /> Abutting L,o,�t, ine <br /> N, :t,� W ��G ft. � <br /> � � <br /> � <br /> — � 1 <br /> — Approved 8'y -" t��' - <br /> Ciry Engineer �� <br /> -- , ;, ; 1 <br /> — Issued By � ' - � <br /> Inspection By� �--� - �-'' � <br /> I <br /> Date lnspect � ��j�7� ' <br /> a ' � � <br /> SEE SKETCH ATTACHED NO. �.' % � j <br /> IN��'�CTIOM <br /> ..:,�? . . �. + A' <br /> . - . <br /> . .� . -�- - -. �• . . : ;.. - <br /> . .. . ..-�e ; <br /> . f.��..., , . . , . ,_ � --_ . . . �•.... . <br /> . . - . ��i: .�:. -:+ . . . , . <br />