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� everett CHART NO.L.` / - : - ' <br /> ; ��� �� <br /> � <br /> � <br /> � City of Everett <br /> Engineering & Community Se�•;;ces <br /> ' Sewer �iNplication and Permit <br /> � NO. = -= '' ��) '� DATE (Y ' j " � J <br /> � 7�. • 3 --.?G - .�l_,�i -vU <br /> Service Address .�'%� G� / l�- - �. � , r C� Utility Account No. '�' `' <br /> �il�--�-._ <br /> G��� <br /> Billing Address /0�U 3 �� ���. �.�'.�� Permit Fee -> � <br /> CU <br /> City. State, Zip /l -^ t=.� .,.�r. • `/'"00� Connection Charge�s) -��/0 <br /> G� <br /> �'� �"'=�; ��� �� , <br /> Owner (Mortgagor)� �-':_--1 r. 1' c� � � � Total Fee 3� <br /> � Billing Name ---� • �. �--� <br /> � <br /> � Connection By <br /> I - _ :_- <br /> �; � .,� l� <br /> ( Address Signed ..� e ,.///i'7! �G ,�'i� �<>T <br /> L <br /> U Ce:iom:r <br /> � Phone / �-J� �-�� � <br /> � DESCRIPTION: Sewer District _ '�; -':,r- ./ %�-- <br /> Lot � � <br /> � , _ Block ,�% _ <br /> Plat ���� i-��c , �%c.-, ,'" A9onthlVSewerService `> � <br /> Unplatted Descri�tion Monthly Sewer Constr. <br /> � TYPe Permit: /.Lc>. ,� �' . �... .t, - Tn�nk �• l% — <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W _ ft. <br /> I <br /> i <br /> � --------- <br /> I , • <br /> jAPProved By ... J;:' <br /> � _ Ciry�Engineer <br /> F <br /> Issued By = - _ - � <br /> j Inspection By.�S��iLf�Lv—� <br /> I <br /> i <br /> � g _ Datelnspected � 7 <br /> E SKETCH ATTACHEU N0. <br /> � .� .r�l�i l� l !�..�'. <br />