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. �.__, �- . __"+.._ ._.._. . . ... _. . .._ . . . ' ::. r ;..,�.,: <br /> .�:E>��u= '.5 <br /> �µK.��j� <br /> 1- <br /> ;1:Y+„ �Z:�1: <br /> <1F.y,':.Rt,.::��i <br /> . .1`.'-', _ <br /> � • CHART N0. �,�,^ ,2�-Z i - � <br /> � everett : �;�.;, . � _ a , -�;i�--,� � �; � <br /> �� . ,s � � / �- <br /> � � :?,l G 19f f <br /> ; <br /> , �, <br /> . City of Everett <br /> Engineering & Community Services <br /> I <br /> i Sewrer A�aplieation and Permit <br /> , <br /> I �, <br /> N0. �' � � i� � DATE �� S �%If <br /> � � J J <br /> I <br /> � Service Address " � � �� �� `� -�-"`•" � Utility Account No. <br /> ! /p °,i-' <br /> � Billing �,ddress �-�— Permit Fee — <br /> ICity, State, Zip � �'(,�;- `�✓� Connection Charge(s) <br /> I � , /�, �� <br /> f Owner (Mortgagor) ' �� ' • ' ��• �� ' ` � Total Fee / <br /> I <br /> � <br /> � Billing Name -" - _. — — � <br /> i <br /> ; , <br /> � Connection By, .�' �`�� ' J <br /> i _�_�y"T_' � <br /> IAddress � � �� I �f' =-�.0�.- _;� �_.; • Signed - — <br /> �_ _ ._.� �:i ,'G q Cusiomcr. . <br /> � '"� � � �� ��% `: <br /> Phone <br /> ' � � ,5 /o d� .t %, <br /> � DESCRIPTION: � - _ _ Sewer District <br /> � �` � ,-'� ' • � . . � <br /> � Lot Block=�__ Monthly Sewer Service — <br /> • J � <br /> � Plat ' --�-- <br /> ', Unplatted Description Menthly Sewer Constr. <br /> . Trunk — <br /> � Type Permit: _,. , „-�,- _ <br /> iLateral <br /> i Remarks: Abutting Lot Line <br /> � N, S, E, W ft. <br /> i <br /> i' _ <br /> ! A�proved By-'~ ;`._-. <br /> jCity Enginecr .�' <br /> , . - , . . /� !� . <br /> I <br /> - Issued By-' - j <br /> i — <br /> i <br /> � <br /> � _����-- <br /> I _ <br /> Inspection By ����`'-' <br /> Date Inspected_ i���+�7� <br /> o - , <br /> Ep NO. ! ._i <br /> r�m Ci�;ll0�� �c�lT .t _ �.�c <br /> �. `:e.' .. . ��+4' '� „ . . �1�ti L" ��L:L�' <br /> � <br />