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, <br /> everett CHART NO. �u ��=• �''� �~ <br /> I � � <br /> i ;�c..r � <br /> � � � <br /> I �° s�-� I <br /> City of Everett <br /> � �-/ �'� 7;�' 1 <br /> �ewer Ap�lication and Pe�rmit � `�rs I <br /> � <br /> � <br /> N0. ZG83O DATE i <br /> --— <br /> Service Address Utility Account No. ' ' <br /> Billing Address �! Permit Fee � <br /> City, State, Zip _ � Connection Charge�s) ' <br /> i <br /> � <br /> Owner (Mortgagor�__ Total Fee <br /> i i <br /> Billing Name__ • <br /> iConnection 3y — _ __ _ <br /> � Address. � Signed _ �-- � <br /> Customer � j <br /> I Phone I <br /> I , �' <br /> DESCRIPTION: Sewer District � % 1,_� � <br /> ILot _ "' Block I <br /> Plat Monthly Sewer Service � <br /> I Unplatted Description � _ Monthly Sewer Constr. ; <br /> � <br /> � Type Permit: "' Trunk___._ � <br /> I _ Lateral I <br /> � Remarks: � <br /> � Abut[ing Lot Line � <br /> I rvsEw I <br /> ft. <br /> � i <br /> Approved By_ � <br /> � Gry Enpmeer ' <br /> Issued By ___ ' � <br /> - � <br /> I <br /> y� � � <br /> Inspe��tion B ��✓_��--�2s'D""^J I <br /> � J � I <br /> i — Date Inspected_��i_� - �� � <br /> ! SEE SKETCH ATTACHED ^lti. ZZtj�O I <br /> I � <br /> j IFI:�i'i�.:i..:���h-. . ! � <br /> `j' <br /> -�.. <br />