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everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />rf-�-14-s� <br />CHART NO. `_Z`'�zg-s <br />/%O 3T��� � <br />N0. �, �; "; r� DATE �C I'-���7 7 I <br />Service Address' ' � '� 1 ✓� �' '� " � � � Utility Account No. <br />• / • _:� ��.'/••'i � %`-- Permit Fee �'C"�TJ� <br />Billinr� Address G� � , Z <br />City, State, Zip1�""" '�-�1 �'Jr ( �J�� ' ��'�ZC.� / <br />Owner (Mortgagor) ! (- (' � � �—f N��`>h'- <br />Billiny Name --'���� f- <br />Connection By � 1�`� C:��= E.-�i� 1: i_1 T <br />Add <br />DESCRIPTI.ON: <br />Lot 1 t_ 'a�l \ Block `�—��- <br />Plat i• � 1"� f:.r-�, C.��_� � <br />Unplatted Description <br />Connection Chargels) <br />Total Fee ��"C'�'-'E' <br />Signed �—�'—i�.. �`__ S:_f..-.'.i..� ;� <br />c.�,���,��, <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />\butting Lot Line <br />N, S, E, W_ <br />SEE SKETCH ATTACHED <br />T <br />4 r`'fb'+�`�.^;,.sk, F��.f,�t fA �.�.�y'r t4�.r'i" <br />\pproved By `^ ' �-� E=.�J� i ti..11.� <br />Ciry Engincer <br />ssued By � �/1L.(., � �/J lLt.- <br />f <br />� /J „% � / <br />nspection By � -�-� '•-''1'.''°'"11 <br />�. � •. <br />• <br />.:... i �' �. � ..'-�.'i.' <br />-�,e F. f i� � ���3 <br />R. �rP. <br />