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CHART N0. '` " � <br /> everett <br /> ��J ' � � ��� <br /> �J <br /> � <br /> City of Everett <br /> � Engineering & Community Services <br /> i Sewer i4pplication and Perrnit � <br /> ( / <br /> � <br /> N0. � j_ `i .' �) DATE ��/ �--,'7 �: i' �_ <br />� � Service Address �� -2 % % %�� %/ .=�v% J <� . Utility Account No. �- � � - :�- �%� <br /> I _, <br /> Ly <br /> r Billing Address ��/U /�f' .� .�' r:-' � ll=.V !:>"<(j' Permit Fee %�� <br /> � <br /> ' City, State, Zip f 6.!= ./( F 7 T� /1"i/( . `�,���G.� Connection Charge�s) - "� � � <br /> i ! <br /> � Owner (Mortgagor� 'i� %'/Y/� �- ;i -/ /-''`�� % ;' .. Total Fee.-- " �-_ -- <br /> � Billing Name_ --' �� Ni c <br /> i ; _:lJ �i r <br /> iConne..tion By __ <br /> � Addr2s� _ Signed - <br /> ' �Cus[omer <br /> Phone � '; > - /� O n <br /> DESCRIPTION: Sewer District -' -`� <br /> �ot /�i Block <br /> ' Plat iN i- •r %� 7 n � n: �rj� G ;/ : � Monthly Sewer Service � �� �� <br /> Unpiztred Description/ Monthly Sewer Constr. <br /> Type Permit: i � Trunk � _ <br /> , /f i�' ri :vn� F", " /C , � <br /> Laceral <br /> Remarks: <br /> i Abutting Lot Line <br /> ' ��, S, E, W ft. <br /> APproved 6y ._ ,i'.. ' ' <br /> _ Cily Enyinccr <br /> � �SSUBC) �v �— . .. � . <br /> I � <br /> Inspectian By_���-`.G��� i_ <br /> � _ Date l nspected�//�l7� <br /> SEE SKETCH vp, <br /> , � <br /> ,� �; <br /> _�,�. _ �Ae �,,:� ��� � . �_... � n�. . :z � <br /> . . _. _._. _ t t .. . �.}: -. ._ _ ...�. . _. _ �_ ._..._...«.w,._'x _ <br />