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everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. �' �' � I E�� �) DATE �L/ '-��J� <br />CHART NO�� � � <br />�o Sr�a <br />/- 27-?�' <br />��� <br />Service Address Jv�y �"' ��" ' Utility Account No. <br />,s- 0 <br />,�� ��'�-� '%::-.��-i. �,_�- --� ���� <br />Billing Address Permit Fee <br />City, State, Zip <'- ' ~f� .�v '��— J� Connection Charge�s) <br />! • � � �[— �,'_ <br />Owner (Mortgagor) ( : �= �� i Total Fee " _ <br />' j � �.� � ' —.� <br />Billing Name - � <br />, i ,-,/ <br />„ <br />Connection By ' -�"� � � � � �' <br />/ <br />Address <br />='S�3- S> � U <br />DESCRIPTION: <br />�ot=�y - �� . - G Block ��� <br />Plat �_ <br />Unplatted Description <br />Signe� ' ��-�` ' <br />c�:io�„� � <br />0 <br />SEESKETCH ATTACHED <br />�di . . . A. (��� � � Ki 3n <br />'.i . .. <br />Sewer District _ <br />Monthly Sewer Service <br />Montlily Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E. W ___ft. <br />� ,. <br />Approved [3y '<s "; <br />City Englncer <br />9. _./�— <br />Issued Bv " —. <br />v, <br />Inspection By "" <br />Datelnspected ���//77 <br />NO. <br />I �-•�=•�r ��. - n v�!t'. <br />S� � y y <br />__ � . � . . <br />