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�. <br /> everett CHART N0.!-���- ��-�• � <br /> � �I,h,�<. <br /> City of Eve�ett � �'-3�'�f <br /> Sewer Application and Permit <br /> N0. �3OOG DATE � -- _ <br /> -- ----- <br /> Service Address �� !� > f �� ,�• • <br /> �-.-���' - ' �� Utility Account No. <br /> Dilling Address % ' _ Permit Fee J <br /> City, Sta?e, Zip Connection Charge�s) <br /> Owner (Mortgayor) _ Totil Fee <br /> --- - <br /> Billing Name_ / <br /> Connection By <br /> Address _ Siync�i _ <br /> - - _ <br /> -- ---- <br /> c�:.�.�����., --- <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> ---- _ _ - <br /> Lot Block — <br /> Plat Monthly Sewer Scrvice_ _ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk__ ___ ___ _ <br /> __ Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> - N, S, E, W ft. <br /> o � NS P�cT� un! <br /> � <br /> �; <br /> � t o -�� - ��' ���i>��v:,ci �y ----- <br /> � C�ry Engumci <br /> --_ �SSLI@(� QY—_'__..__ ._ . __- - <br /> � Inspection 6Y-------- <br /> — ------�Datelnspected._--- ------ --- <br /> SEE SKETCH ATTACHED N�� �i;��; <br />