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everett CHART NO.��� , �Z9�,s <br /> e � �ms�7'-�-0 <br /> , _ ,L_ � � <br /> City of Everett � <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. f L O �'i � DATE //I;�%i / i^� <br /> �i / �T% ' <br /> Service Address�/d,��z% � � Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, Zip Connection Charaelsl <br /> Owner (Mortgagor) Total Fee �� <br /> Billing Name <br /> E .. �_ , <br /> Connection By � � r r= �_ ,�— <br /> " /�; <br /> Address- Signed �`. - .�� '; , % " <br /> � <br /> cu:�unwn--r --* � �. <br /> Phone i '( <br /> ` DESCRIPTION: Sewer District ! <br /> Lot � Block � / � <br /> Plat_-yL6�-of.f.m�:r �� !� �� -4 ,, Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> � Type Permit: Trunk _ <br /> ��-`:s-..r....__. <br /> Lateral <br /> Remarks: <br /> n ,� � � Abutting Lot Line <br /> �7s..�J— S. O' C'r,+-�-a['-aC.t-.�-.i� y N, S, E, W ft. ' <br /> � ' <br /> �� �t s.� /� _ .a <br /> � Approved By '�l , i/r ' <br /> ! C�t�n mmr � ' '/ ' <br /> ( _ ....—� . . <br /> r <br /> ISSl1Cd By_�!.�i. �1., <br /> I <br /> � Insper,tion By -1 � <br /> f� Q Datelnspected /d —�=�= 7�� <br /> SEE SKETCH ATTACHED Np, <br /> i II;;I'I r'.-i IiiPi <br /> I .se�::AC'�a; . ... . . . . , <br />