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everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Applicati <br />� <br />Y <br />on and Permit <br />N0. �: �^ J J DATE /� /`�- %?� <br />':� <br />�- -L �j-r S� i <br />CHART NO � I <br />f%m � (�-"C"J i <br />�Z_y� —� � .� <br />� �� I <br />, i <br />_, J ,� � :� , . , ��" � Utility Account No. i, <br />Service Address j <br />Permit Fee `� I <br />Billing Address �— <br />I <br />Connection Chargels) ! <br />City, State, Zip � <br />Total Fee — � <br />Owner (Mortgagor) � <br />Billing Name_ '� <br />• �' ' �� - 1 <br />,i.. i <br />Connection BY - � <br />�. _ J '_ .: 1 - ; <br />� : I Signed <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Block — <br />Custamc� � <br />i <br />i <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />• SEE SKETCH ATTACHED <br />..� ��_ _._ . .� <br />. =x��. ... . _ _. _ .. <br />abutting Lot Line <br />N, S, E, W <br />qpproved BY ' ' '� <br />Ciry Engineer <br />Issued BY.--== <br />Inspectian By ��c� /'�/� ` ! �r i% <br />Date i nspected �� ��� � 7� <br />NO. <br />i" R� ��IiR6 5' �ul` < �s �� <br />