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�.�.� --�-- , <br /> , <br /> CHART NO.� "��`�S { <br /> everett � � <br /> r� � �. <br /> � � 5 /�� ' <br /> i <br /> City of Everett /-, �Z Jr',f � <br /> ,. <br /> Engineering & Communily Services �'1 ,'; j <br /> �. <br /> Se�.�s�r Ap�slicatio�r� t � �dd Per�it � <br /> � <br /> � <br /> l � <br /> :; ; <br /> N0. %� ,� I .�. � DATE f � -, , --- i <br /> �_ , <br /> �:,. , <br /> � <br /> Service Address �' i i - _ ' _._ Utility Account No. ��% � 1 -- <br /> . ; <br /> J <br /> Billing Address '% ' " f "� =-'. ' " ' Permit Fee_ � � <br /> City, State, Zip ✓ "��' � �'`''s^f `i` �"' Connection Charge�s) ` � i <br /> , ��� ' <br /> Owner �Nlortgagor) �{ ' ' - - Total Fee �'�` � : <br /> � <br /> Billing Name �-' � <br /> I <br /> Connection By _ _ ! <br /> Address _ Signed��.U.L� �l�rt%�1.! .�z-- 1 <br /> Customer � <br /> ! <br /> Phone — - — ! <br /> � i <br /> DESCRIPTION: SewerDistrict � '� '� '" �` �� � <br /> � <br /> Lot Block — Monthly Sewer Service � ` � <br /> Plat " ` <br /> Unplatted Description Monthly Sewer Constr. � <br /> -- Trunk � ' �J i <br /> Type Permit: � <br /> � <br /> Lateral --"—' { <br /> Remarks: <br /> Abutting Lot Line � <br /> N, g, E, W ft. , <br /> � <br /> � <br /> � / <br /> — - I APProved By ; �F .: _� � <br /> City Enyinrer <br /> — ( . <br /> — Issued By _ �'�` — <br /> . _ <br /> i <br /> Inspection B �� �, "��� � <br /> --— ---� . <br /> Date Inspected � /' �� <br /> 3 <br /> SEE SKETCH ATTACHED N�• - - � <br /> 1f ISPEC I!Oi�i <br /> ,.��i ` � � � <br /> r� <br /> .�. <br />