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j everett <br />, �i <br />� <br />� City of Everett <br />� Engineering & Community Services <br />� Sewer Application and P�ermit <br />CHAR7 NO ' <br />-30- -S <br />�G ��C' CI <br />4 _ � - ��T� <br />� . �, <br />N0. F' .�-, L� r} -� DATE ✓ P''� %n� <br />�/ � % -- — -- <br />Service Address 1��1 � � Utility Account.No._ <br />� <br />R <br />City, State, 7ip <br />Owner (Mortga <br />Billing Name_ <br />Connection Bv_ <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />T..�.. 0..��:�. <br />-7 � r' 1•' <br />l �' <br />� i,au<•/ <br />Block � " <br />-----=�� rn -f� <br />114_�/ <br />! <br />Perm�t Fee ' — <br />Connection Charge( <br />Total F <br />Signed . — <br />Customar <br />// <br />. . � <br />_ a- , , , . �; <br />,{v, 3""r ..�� r_ :'�'�� x..a 1 Kai'� ti...w,"#c'. <br />TF <br />rr, <br />Sewer D <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />- .-- — <br />:i <br />Approved By •' �' <br />Ciry Engineer <br />, ��Issued Bv ''' ' --- <br />Inspec.ion By_ �'�'C� .rl.��;�,,,,..._.., <br />Date Ii7spected� -z a � �'"� <br />N0. _ <br />, _� � <br />