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everetl <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Application ar�c! Permit <br />NO. �r' n(.i ! J DATE ��- �v - 77 <br />CHART N0. �i �-�'��� <br />/ �J r�� <br />Z,_s/-78' � <br />�� <br />Service Address �� � 7 L%% L-,ti��C ,-.� �--' Utility Account No. <br />Dilling Address_1 �� "� � �7� ' '���'"t -��� " Permit Fee <br />� U U�' <br />� . '/ <br />City, State, Zip �'--'^-t- l�� ���G7 Connection Charge(s) -�� <br />/ r,� <br />Owner�Mortgagor) .�r%�"��<. ✓'�' �'"�, � r"' �•TotalFee ��' � <br />i , � ,,�%�-- <br />Billi��g Name � U, • `�� <br />C�nr.ection By �'�t=�•�-�-� <br />Phone_ 3J I %l �Y� <br />DESCRIPTION: <br />Lot'� (/' �Jf . Bl�ck �� <br />Plat ,�--*�-o �•�.� ��- <br />Unpla:ted Descrip"tion <br />Tvoe Permit: <br />Signed 1 ` '�' <br />, — / ustomer ! _ <br />- , J .�, <br />Sewer District �����' �� � <br />�.. , <br />Monthly Sewer Service ""�" �-' L• L'�✓ <br />SEE SKETCH ATTACH[D <br />� <br />, y �'..�, KM1 �f � 1 �?''�' '`� �� ���.�� <br />m <br />.''��. �;il!iCl <br />Month'y Sewer Constr. <br />Tru <br />Abutting Lot Lii�a <br />N, S, E, W <br />� f-f/ . <br />Approved By� +-�y-'> � — <br />" City Engineer � � <br />i <br />Issued 8y/ .y�"_-� <br />Inspection By�c''� C ��/ �� ��t�� <br />Date Inspected �� � <br />• <br />�"' � z .�'yf � � <br />:: r�., r ! .� .e� <br />