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, ,t � s - — ^ — y <br /> CHART NO.. ' � = % <br /> everett • - ' � <br /> i <br /> e ��. _: .,, <br /> , ;7i_,^I:, <br /> r , . <br /> City of Everett <br /> i+i- <br /> Engineering & Community Services � <br /> Sewer Applicat�an and Permit <br /> N0. . : � ; . DATE ��� " ��" J � --- - <br /> Service Address .' ��� ^ -' � " '� Utility Account No._ � � � '� � <br /> Billing Address � �' � � %� Permit Fee -% `'� ' <br /> � : �� J Connecion Char e(s) �� ! °� ''J I <br /> City, State, Zip g <br /> Owner (Mortgagor) - , �Total Fee - % <br /> .! <br /> Billing Name -�"- '- ✓ <br /> Connection By - - �.. �`�^ / <br /> ii_'.. , ; . . <br /> i <br /> Address Signed `�.%�:�%' '�` ��' � <br /> Customcr <br /> Phone , � � _ � ; .� ... <br /> DESCRIPTIpN: Sewer District -� '� - i <br /> �L <br /> Lot � Block_—_ <br /> Plat '--�".' � . -'"�', `� � N�onthly Sewer Service ' • '>�`J <br /> Unplatted Description Monthly Sewer Constr. <br /> _ /✓ �� <br /> Type Permit: ".'' r , Trunk /. / =� _ <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> _ _ N, S, F, W ft. <br /> Approved By . <br /> City� Engineer <br /> / <br /> Issued By " / <br /> i' <br /> Inspection B ���=^�./ <br /> _ __ Date I nspected�` ri'� <br /> 3 <br /> SEE SKETCH AiTACHED N0. <br /> ^o,, � . � . . -, <br />