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� <br />` <br />� <br /> �_� CHAR i NO. ��'Zv - zq- � _ i <br /> everett _; �-��._ �, <br /> / U � � .,_ <::� i <br /> � � - .z_. �� � - i <br /> i <br /> City of Everett � <br /> Engineering & Community Services <br /> �����•.� i <br /> Sewer Application and Permit I <br /> , <br /> . , <br /> � <br /> NU. � � .3 7 � DATE :� �[!' �� li <br /> --. .-r '"�_ I <br /> r -� /(1l .--: -%---� � �/,,= � � Utility Account No. <br /> Service Address <br /> _ I <br /> r Permit Fee — <br /> Billing Address <br />' City, State, Zip Connection Charge(s) <br /> Total ree ' 7 - - -- <br /> pwner �Mortgagor) � <br /> � <br /> Billing Name I <br /> _,— <br />. ( ," �� <br /> Connection By_ <br /> -� � " I <br /> : Signed r'� .�r <br /> . � .j Addfe55 � Customer � i <br /> i I <br /> ' Phone - I <br /> S <br /> ewer District <br />� DESCRIPTIOfJ: i <br /> Lot Bloci:_.�— Monthly Sewer Service <br /> i Plat_ Monthly Sewer Constr. <br /> U�platted Description <br /> Trunk <br /> Type Permit: ,jf� ; " _ <br />� Lateral_ <br />� <br />, ' � , �---' . <br /> Remarks: - - Abutting Lot Line <br /> /� - N S E W ft. <br /> � �� [� � i <br /> �iL✓ 7(f[�•� �%' v �y • � � <br /> � �- 37l ' �;9�.i�. �-�. _.,-Y� �.�. _ • <br /> ,,. <br /> Approved By -''l' <br /> Ciry Engincer � <br /> • , I <br />' 4 � <br />� Issued By �% • - - - I <br /> I <br /> , � �y I <br /> Inspection By� <br /> Date I nspected '� - ' � � y IJ-- <br /> 3 <br /> SEE SKETCH ATTACHED NO. <br /> r,�sr� c�io�i � ., , . .. _ � <br /> �`�' ` . <br /> r r'*'}�?'�.' .. .. ,_. . �i..3. _ .. . .'b>r .. .�vc. .... . <br /> ,d.4c _ <br /> I <br />� <br />� <br />� __" . ""_' ' . . <br /> i..�—. �� _ _. __ .. _ ... _._ <br />