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tOoT o,a C1�a2T <br /> eV�� y_�,�_�� CHART N� <br /> _� <br /> � 5,��.�- d <br /> e : <br /> City of Everett � � • � r � � <br /> Engineering & Commu�ity Services �s � <br /> /e% ` <br /> Sewer �►pplication and Pe�rmi# <br /> N0. .' ' ' �": �_ DP.TE �. . ; 7 <br /> Service Address ' ' � � r-�;•.� ' / Utility Account No. < � ' /i'� - <br /> �, :, <br /> Billing Address }�7-J /.d ' %1� �. c� Permit Fee -�'-'' ` �� <br /> City, State, Zip h �"% '=� �� V0�'� 's;�� '%�aa'•� Connec[ion Charge(s) � i �� �r'� � J <br /> Owner (Mortgagor)_ ' �� G�✓,�.7�,<'-i _ Total Fee � � <br /> Billing Name �� � �'11- <br /> Connection By �.'�v�- �./�I:l-l ':T�',C,+`.�,� <br /> � <br /> Address y ��'b �'l '.J Y� b/_' /�� ftl5vl-. Signed_ �- ` '���1 - <br /> customer — <br /> Phone_�� `'� ��� � <br /> DESCRIPTION: Sewer District �J <br /> Lot J �.� Block <br /> Monthly Sewer Service � "`� <br /> Plat Cl":ar�,� ;�.1 ��.-}6�re:,,..r r:�r, + - � _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk_ � - �'� <br /> /,�.� :.t/ G ;11..� �!."C' �:��;/ Lateral -,._ <br /> Remarks: <br /> Abutting Lot Line <br /> i fJ, S, E, W___ ft. <br /> Approved By �;�_,/,�t.:-> -,r i <br /> _ Ciiy Enginecr . . <br /> . rj,�� � <br /> IssuEdBy �(i. ' -'� <br /> Inspection By �� - -'G' i � <br /> � <br /> _ _ Date I nspected � �� <br /> SEESKETCH ATTACHED N0. <br /> '��a,���%�"`¢f4�i�a� s ,��; � < :. ; . <br /> e — '�..�.n-.� x r i v t'�'a ' ��y. =J 3� i3ii4^�''Y�y��� v3, ��P, '� S}, � � �`.�*�:tY• <br /> ��� N+ra' 0A�''.ai;_' '63� iS=.ir'.��3�i°6111�II�Wi��VOI�Fga�'t�lm:.f.i#'.:.�USk:" �"' A„y� <br />