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1 <br /> � everett CH�T NO.�`�� %- y <br /> � � � s � <br /> � � � <br /> � t.- Z C;- �-��' <br /> , <br /> i'S � ��., '�� <br /> City of Everett �. � <br /> � Engineeving & Community Services --� <br /> � f' <br /> j Sewer Application and Permit : � <br /> � N0. ;> r' �' � �� DATE �/ - //- 7� `� <br /> } Service Address `��� 6 �' :-�,. .� - .'%/ . Utility Account No. � ^' .=' � ' -='d7- � U [ <br /> � <br /> � Billin� Address..�,L / -'� 7r/ �':/�. J�. Permit Fee ��� ' � <br /> � ,- � -?' � - . � , � � � <br /> � City, State, Zip;;-+ �.r... . r k .G � Connection Charge(s) � � r <br /> � ' <br /> Owner (Mortgagor�/�-- .� �%1�� - . �' /'�- Total Fee J'� <br /> � Billing Name ._�- � <br /> i <br /> Connection By � (: <br /> Address g `�� � ��� t � I <br /> Si nFd�`�.L,.r.. �. ,.� �_:_l-�� � <br /> Cus[o r <br /> Phone_ -%�% � �% / � <br /> I <br /> I DESCRIPTION: % ,. <br /> Suwer District �- C � <br /> Lot � Block <br /> �i . ,0 i <br /> r ' � • :-r� Monthly 5ewer Service <br /> Plat. __., r' : /,� `.y!'., i <br /> Unplatted Description Monthly Sewer Constr. � <br /> i <br /> .'/U.�� t <br /> i TYPe Permit: �J;�,, - �:' �` . Trunk /-/S _ �, <br /> � Lateral � <br /> f ;; <br /> ! Remarks: _ ; <br /> , Abutting Lot Line <br /> j N, S, E, W ft. <br /> � — <br /> � ..r='' • / , i <br /> 4� Approved By .l�• � <br /> 'Ciry Engineer �, <br /> G - ` ` ' / � <br /> � �; — IssuedBy �' ' � -----r--� -/ <br /> I r � <br /> � <br /> � <br /> ' — — <br /> ` � <br /> Inspection -e <br /> ' Date Inspected �i�C "���(1 <br /> t 9 � <br /> I <br /> � SEE SKETCH ATTACHED Np, `' `' i <br /> � f fiSPECT14Pl <br /> i � <br /> -�. <br />