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,� ��_ <br /> CHART N� <br /> evere:i /)O $ � �— � <br /> �' �- �- 4 - ? � <br /> ,I City of Everett � <br /> L E.igineering & Cammunity Services <br /> � Sewer A�pli�a�ion and Permit <br /> I <br /> , <br /> 1- . ! <br /> " `� i�) �� �' DATE � � � <br /> N0. F_ r__ �- <br /> '/ � �� �lijc.�C.11itC/ '- ' Utility Accoun[ No. <br /> Service Address � <br /> Billing Address <br /> � -") / / = %' Permit Fee � ' <br /> � �/� ,/,;, . '' ' � %.� Connection Charge(s) "`��^ <br /> City, State, Zip ' � <br /> Owner (Mortgagor) "�•, ' % ' i. j Total Fee i,..� -- <br /> BillingName � �-% ' ,'�' _ <br /> i <br /> ; r , <br /> Connection By `-" — � �/ ,� �£���' <br /> Z �,� ! <br /> Address _ Sig�ied a:�ome� <br /> Phone -� 'i � - 1/� ' _ <br /> DESCRIPTION: - � '� Sewer District <br /> LGi_ `J Block Monthly Sewer Service_ � � <br /> Plat ' <br /> Unplatted Description � Monthly Sewer Constr. <br /> Trunk — <br /> Type Pennit: �;�,•- � � -- <br /> Lateral <br /> i <br /> � Remarks: _ _ Abutting Lot Line <br /> I _ N S E W ft. <br /> I <br /> I ApProved By -' <br /> � City Engineer <br /> Issued By —� <br /> Inspection By— �� �'�u-�� — <br /> _ Datelnspected_ 1 Z 7 � — <br /> o -- <br /> � SEESKETCH ATTACHED NO. <br /> E IiJSPFCl ION <br /> k [., i . <br /> � , . ,- . ::.n ;;k , ...R.� . . Ey�.. . . <br /> � <br /> � � <br />