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� /;' -i�'_, � <br /> � ' Y- ;' , CHART N0� � <br /> everett. - <br /> , <br /> s i E/� <br /> � <br /> � _ <br /> City of Everett � � � � - 7 � <br /> Engineering & Community Services � <br /> 9�7 <br /> Sewer Applicc�ti�n and Permit � <br /> �-> �� �; r� - - - % <br /> , <br /> N0. � __ � i; 8 DATE , <br /> , / -- i . <br /> Service Address�/ �� � �� '� '� '� —'` ' Utility Account No. -�- � � " ' � <br /> , ,. ' _ _j�.. <br /> BillingAddress %�� � i� �� �' 7�7 Permi: Fee "� <br /> City, State, Zip s' r�1 w�✓/'c/ �'�- �� Connection Charge(s) � - � � I <br /> ' � - �/ � - /" <br /> Owner (Mortgagor) ' -' `�'- ` � '� ` "�-- ' Total Fee J' <br /> Billing Name__ ,. -%,--�,.✓ <br /> Connection By <br /> ,,.� _�/ i �` ; �� �. <br /> Address Signed -.'/��'f:-,�'� �i'�•". /�. � <br /> � ` � `C slomer <br /> � <br /> Phone �> > -- C `' " C <br /> DESCRIPTION: Sewer District -� I � <br /> Lot / '-'� . Block ,,-J <br />' Plat ���-� � %.��:,.,/ ��/ Monthly Sewer Service <br /> . • l�� - � /- <br /> Unplatted Description Monthly Sewer Constr. <br /> rype Permit: • "' . Trunk � <br /> 'l� � ..� <br /> � Lateral <br />'ri,',einarks: � <br /> � Abutting Lot Line <br /> _� N, S, E, W ft. <br /> Approved By <br /> i. <br /> Ciry Enpinucr <br /> ` Issued By ' ' � <br /> � <br /> � <br /> �; . <br /> Inspection By O �_l'=�-c�_{ <br /> j _ Datelnsp�cted <br /> �/ �%�7 � <br /> :,� �— <br /> SEE �I<ETCH ATTACHED N0. <br /> � <br /> , �� �� .�,: �i .+, ..:,.., d �--.lF��,���'a�����`r <br /> ..,si: ,,.ar ,_v._ .'ro.��IMI�. <br />