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CHART N0. U �`�- Zce� 4 <br /> evereri <br /> e �ST�� <br /> �_� _� <br /> Ciry of Everett <br /> Sewer Application cnd Perenit <br /> No. 23569 DATE '� � � � � � <br /> c � � 'l-' Utility Account No. , '� , } <br /> Service Address� � � �- � � � ' <br /> r � . , � . /1.✓�,.-_ permit Fee <br /> t . <br /> Billing Address r� t � � ] % .; . ; <br /> (_-__ r._�. t i - � ' ' ^ ` Connection Charge(s) <br /> City,State, Zip - / ' r - <br /> ! _ ' <br /> j�, , , ,. Total Fee <br /> pwner (Mortgagor) � ' <br /> ; ., �__, , <br /> Billing Name � � � ' �� <br /> ;�. 1_� , _, , <br /> Connection BY � ° �' ' � � � ( (� <br /> ;, ., �_ Signed <br /> � �/ � � � �� � <br /> ( � / cu:tomer <br /> Address�`— <br /> Phone 1 ' <br /> Sewer District ' � ' " �1 <br /> DESCji I PT I ON: �'T" <br /> ��� ` ' �� Block Monthly Sewer bervice r���y� <br /> � .�.�-- <br /> Plat i � ti 'Ci <br /> Monthly Sewer Constr. <br /> Unplatted Description � � .- _ <br /> Trunk_ <br /> Type Permit: ' ._ l: . c - - - Lateral " � 1 <br /> Remarks: Abutting Lot Li .Z = ft <br /> N, S, E;�— <br /> � ; //� !_� i � .� � � r r�.t_ -�- ' <br /> Approved By ' <br /> City Engineer <br /> i <br /> j� � i <br /> , i . <br /> Issued By�— <br /> � N'f� <br /> Inspection „ <br /> Datelnspected� <br /> No. 23569 'i <br /> SEE SKETCH ATTACHED I <br /> INSPECTION <br />