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_..�._... . : --- � <br /> r <br /> feverett CHART NO.,,���� ;� *• ,�` <br /> � e _ � - , <br /> ; _ <br /> ; ;,, ' ;. <br /> j City of Everett "' 7 ��� <br /> j,- <br /> � Engine�ring & Community 9ervic.es i` � <br /> r <br /> � Sewer A,pplicaltio� c�n�� P'ermiit <br /> � <br /> No. :; ', � ', � -� � <br /> � ,_ ,. : _ . DATE �� �'.T,i�_ 7i� _ <br /> � Servir,e Address_ �->� /' � <br />� i / � � � ` -��L�=: Utility Account No..="- <br /> i � -- <br /> I Billing Address-- -�'/�L ;��,t_�� � _ F'erm t Fee ��'� ' <br /> CitY, State, Zip_ �( /.�. / •'i% �'';J � Conn,:ction Charge(51_ 'i� �'� <br /> '1-` <br /> 1;; <br /> / , _ <br /> Owner (Mortgago�}.-":'.f,� / .. / i _, . ; -- <br /> �`^ � . Ti�tal Fee ;,U <br /> Billing Name `___ � <br /> Connection By <br /> � Address _ _ <br /> Sicned <br /> �' � �� Custome� <br /> I i Phone X � �- _� � — <br /> � �ESCRIPTION: <br /> I Lot 0 Sr.wer District i� / � <br /> Block <br /> I Plat Gr�. ;. .". i- _ M�nthly Seaver Serv':ce - C% ;7 <br /> I Unplatted Descriptian , Mimthly Sewer Constr. <br /> I <br /> l <br /> iType Permit: i'/,.. — � _ ---' Trunk - :� __ <br /> � <br /> :�' <br /> � Lateral <br /> � Remarks: — <br /> i� Abutting Lot Line <br /> N, S, E, W __ f t. <br /> I <br /> I I <br /> � _ Approved By-. � <br /> � Ciry Engineer <br /> % <br /> j Issued By <br /> I <br /> I -- <br /> � Inspection By� <br /> j � �__ � _ Date Inspected_ / i �g�7, <br /> � - <br /> � /�SEE SKETCH !',TTA('� N0. <br /> � �� If�(SFeCTI�:r; , � <br /> , � �T <br /> ; <br /> . .., . , � - .N�., x � r .� . <br /> . . . _�. ee». _:� �. .. x .ri' . e,J r ¥� � <br /> � <br /> _��,__ . .. — - •r.-'� — <br />