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� CHART N0. ��� � ' '� �' � � <br /> � everett ,� ' <br /> ��s�� . <br /> � � ;..- . . <br /> � �� �� .: <br /> ( City of Everett /'� , � <br /> fEngineering & Community Services \��� <br /> � Sewer Applucation and Permit ' r_ <br /> f � <br /> NO. � 1 �;� ,' l DATE �` "" �� . / / %� � <br /> Service Address `f ��' '� -• �� - ./ %� t �� • Utiiity Account No. ' ' "' " - " ' --� ' ' <br /> � <br /> � CI J <br /> � /� .,_./ � , <br /> Billing Addre�s "��7 -=�' � � �- % _ Permit Fee__ � `� � <br /> City, State, Zip - -' / T 'i•ti . � - 'JG Connection Charge(s) -' i�'�� —� � <br /> �` Owner (Mortgagor�_� -: l "i: `'I ,_7� • Total Fee_ �7 " l � <br /> f _ I <br /> Billing Name t - / . �% - � ! <br /> Connection By � . , <br /> � <br /> � : � <br /> Address Signed 1 --�.,4-:-:'-� �'' % i:'�.��Pi � <br /> � � � •..Customer �" � <br /> Phone S � � 'J `' `" � <br /> � DESCRIPTION: Sewer District ; �' %������-� � ' <br /> t Lot � Block � <br /> Plat i�- - <br /> � -- Monthly Sewer Service ^ ' S'� <br /> Unplatted Description Monthly Sewer Constr. j <br /> Type Permit: r � _ - Trunk � �:� ; <br /> �� <br /> � Lateral <br /> � Remarks: P <br /> � � Abutting Lot Line � <br /> N, S, E, W ft. � <br /> � I: <br /> f � � Approved By .�f<- i <br /> { - Ciry Engineer , <br /> � � <br /> � , <br /> � Issued By � ! <br /> i ' <br /> � � <br /> Inspection By <br /> � //csZ�' �� i <br /> k Date I nspected <br /> i 8 • <br /> M SEE SKETCH ATTACHED N0. ._ � `� ( �� <br /> �I�l:�.� Ci;li('�. , <br /> I <br /> i <br /> -�► <br />