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,�. _..._ _ . . <br /> I � <br /> everetl cHaRT rvo. , - - � <br /> � `7 �i j,��� � <br /> , <br /> r � <br /> � , <br /> City of Everett ? �/^. 2 .-� . <br /> Engineering & Community Services �� � � �J ' <br /> Sewer �4ppiicc�tion and P�ermit � <br /> ` i � <br /> . � <br /> f�'0. _ " ' �::� DATE _ �' i .�'� � <br /> I <br /> Service Address % % �` % j ,�-,_' � � <br /> "� ' Utility Account No. -i— � /.. ,:/U• - J� I <br /> Billing Address ��� =; 'i Y "' � � � � � <br /> Permit Fee �'� "� <br /> CitY. State, Zip � y,� . =�- , . � � <br /> . � ` - �= Connection Charge(s) ��, U ��� � <br /> Owner (Mortgagor) �_ • �; _ ��" � ,`, _� � <br /> / Total Fee � <br /> Billing Name , ��, � <br /> f J <br /> Connection By ..� � ;� <br /> !� <br /> Address � � <br /> SI(�flnCf /: ,_ � .� �. . % /' i . <br /> '. r <br /> Phone _} -� -� ' `�t' � Custo er <br /> DESCRIPTION: �`� � � <br /> f / � <br /> Lot_ ' 7 Black Sewer pistrict_ ' � � <br /> _ �_ <br /> Plat _''' .- � , _ Monthly Sewer Service <br /> Unplatted Description ,-7 / _� / �— � <br /> _ Monthly Sewer Constr. I <br /> Type Permit: _ ' Trunk ' ^� `� ' , <br /> � /: - % ,J ; <br /> -- i <br /> Remarks: Lateral_ ; e___ �j�_ <br /> Abutting Lot,.L?ne <br /> N. S,' E: �N 'i-` <br /> �_ft, <br /> Approved By �� ! <br /> . ; <br /> ��--�__ City Engineer <br /> � <br /> Issued By,�_ � <br /> I <br /> ' Inspection 8�����,�t <br /> Q Date Inspected�Z� ',� <br /> SEESKETCH ATTACHED <br /> �� li�!SPFCiI(,i., NO. _ <br /> t� .. . __ ' s g 1a�`�� � „3t _ ,. w. . ., � � <br /> , <br /> i <br /> ::_' � <br />