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.__.��. _ . _- _ % <br /> � <br /> i <br /> i eyerett <br /> i <br /> � � CHART N0. -�'`-; ' <br /> / <br /> � c , <br /> City of Everett / �✓ / �l�� <br /> Engineering & Commu < • <br /> nitY Services J -' /O — � � � <br /> Sewer AAplication and pep • �"-� % <br /> { m�t <br /> NO. `% '.' <br /> I F �`' � DATE Y <br /> f /�./� �; <br /> � ServiceAddress � � . ��" '"' ��'i c�.<u o F <br /> --��_ , �_ , N I Jy �n,, <br /> 3illingqddress J' � "' ' Utilit �� <br /> � _,� / _ V Account No. <br /> � CitY. 5tate, Zip .' .� - . Permit Fee .y c, '' _ , <br /> ��. �.:2 <br /> � Owner (Mort9a9or) ( ' ' �'"�— Connection ^ -- <br /> Charge�s) � /.::: . <br /> Billing Name Total Fee -' <br /> t `_ / .. -. <br /> E Connection gy , <br /> —` `— i <br /> I Address <br /> t ` � <br /> Phone___' �'� _ ,� // Si9ned , ' �, <br /> �` DESCRIPTION: � �cu:�om�� 1 "„""` <br /> Lot_ 'i / <br /> Plat -�- B�ock�— <br /> Sewer District <br /> Unplatted , . _; . . -. `! —_- % � <br /> Description Monthly Sevver Service '�' - U <br /> �=. <br /> TVPe Permit: , Monthly Sewer Constr. <br /> ,•. ` _ . <br /> c' <br /> - Tru n k <br /> Rernarks: � /�> <br /> Lateral <br /> �__ <br /> f Abuttiny �o� Line <br /> � N. S, E, VJ <br /> � ��ft. <br /> i <br /> � —� APP�ove y . i �' . <br /> , — d8 i� <br /> � CitY Engineer <br /> r " <br /> Issued By <br /> � -� , <br /> � —�._, - <br /> --_- � <br /> � <br /> ' �- <br /> � s �--�_ Inspection g � ' <br /> ( y <br /> -Z� �,—� <br /> ' SEE SKETCH Date Inspected � / — <br /> ATTACHED � <br /> i ' <br /> � I;�J;)PEt`��nj � <br /> r�o. <br /> S.s _. ._ . ._ . . . .. <br />