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� CHART NO.L1�2�� <br /> � everett .r- <br /> ; /'�o s 7�p <br /> , e, ,_ �_ � � ��_ <br /> f City of Everett /�C_ � _ _ <br /> � Engineering & Community Services � <br /> \ - <br /> i Sewer Applicatian and Permit <br /> � �; � � �-, � <br /> I NO. ,_ � `"t, i� DATE — <br /> C:. <br /> Service Address_ - � � � � --" ' ` � ' Utility Account No. <br /> d. C� � � <br /> I Billing Address`? �^ �-'� � Z�� Permit Fee <br /> City,Stat�, Zip �_' ' �-��� ��� ��=�-' Connection Charge(s) <br /> r �,_. [) c �: <br /> Owner (Mortgagor)�-' � �`� `''"' ' �" Total Fee_ — <br /> EBilling Name C� � lJ'u'T�-'k- `'r`.� � r� � <br /> � Conner.tion By --�%�-"v•.,� t__: _ � <br /> i ��)p � � <br /> Address �� U i '" �IZ�� _ Signed �r �//��� ��7''` <br /> cusromcr <br /> Phone G_ ,' I � % �� _ <br /> DESCRIPT.I ON: i Sewer District �"'�'�` ����'�'� , <br /> L� -� � N Block �. � Monthly Sewer Service h',`— '� k �' ` � <br /> Plat 1 � =:� �. .�_ ��.�.�.:� ��i' <br /> Unplatted Description Monthly �ewer Constr. <br /> � � TfUflk _ ___ <br /> i TYPe Permit: �-�t�ta �....C,A.7ti-� �'; �- f-+ <br /> I Lateral <br /> I <br /> � Remarks: <br /> i Abutting Lot Line <br /> i N, S, E, IN _ it. <br /> V <br /> i <br /> ; <br /> ( i.(�,���� ,ti;; . <br /> a,�pro�ed �v � <br /> Cny Engineer <br /> � � /�� � � G--L.-i A i , ,:_'�.J <br /> , �SSUE?� By ---- <br /> I <br /> � Inspection By 1� �� <br /> Datelnspected �a Z'o <br /> � � <br /> SEE SKETCH ATTACHFD NO. <br /> . I'i�,i�r��T��i�� <br /> ' �-�. �.:.";ti;.� 1? . `a�: - <br /> � ti <-1..��._ . _ . n.._ . <br />