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CHART <br />CVCfC�i <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Ap�lication and Permit <br />N0. L i v � J DATE —Lo '' q. �'77 �_— <br />�"— <br />Service Address � C�� �:L-ii L_t= Utility Account No. <br />Billing Address � 7L•d- �i�C,�1�_. Permit =ee I�, SU <br />City, State, Zip ��✓��f=J? C'��'^7 C?, <br />Owner (Mortgagor) G � 1C•i C� �+ R-' `� <br />BillingName �J��ti��L- <br />Connection By �.�^��E� <br />Address � ��- � ���- Cr L,L <br />Phone 'Lr>j` =�;�• Z <' <br />Cnnnecticn Charge(s) <br />Total Fee �z - S V <br />-. <br />� <br />Signed �'� �_ �-- "'� <br />a:tomer <br />� <br />DESCRIPTION: Sewer District <br />Lot � Block� Monthly Sewer Service. <br />Plat % C-=i �,FCt}� (_. /.- /��� <br />Unplatted Descriptien Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />1 <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />APProved By � • f`��z-ll�i'�-�% <br />Ciry Enginecr <br />Issued By C� - C�+�-�L'n /-�/�.� <br />Inspection <br />� <br />� <br />i <br />I <br />Dntelnspected <br />M <br />r � e� n ?- <br />SEE SKETCH ATTACHED ^� NO. ,r.i_ �•! J <br />-- -- --.. _- _i �.. -. .�.-�.�._..,_,,,,.._ . -- -- -- _ __ � <br />-- -- <br />_ 'rn _ <br />_" - ,.,� _ _: �...c�....a:........�.:f..=.�:..�.....+w:_....�...._' _...ou�s+...� ^� ..�.r.»tia.�ni:...'L^rt�.�` 1 <br />_ ti 1 <br />