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; <br /> everett <br /> ; CHART NO.�Q—'2,�K� ~ <br /> i � , ; / <br /> � <br /> U..J % �'_ (.% <br /> ' ��ty of Everett � �� � � ." <br /> I � �-j <br /> Engineering & Community Services ' � � <br /> � <br /> Sewer Appliccation and Perrnit <br /> ; N0. r � !, � 1� DATE // ,:�'F�7 <br /> � Service Address r-�� _: %j" / - — <br /> �'' ' Utility Account No.-%`-��= .i -:�: — �' =' <br /> ' Billing�ddress -"�v- -' :. ,( ��r' <br /> --� i� <br /> I 1� , , Permit Fee � �� <br /> CitY, State, Zip /1-'-. i. •`,, � � � � � _ <br /> � ��J�--���=}�L Connection Char e s "> �.0 ul_ <br /> 9 ( ) -,.• ,-, <br /> ' Owner (Mortg3gorJ -' 1f �i ,i'j o`/� ' ';`--� <br /> � Total Fee �-> <br /> � Billing Name ,;, <br /> I <br /> i Connection By_ - ____ ,,_ <br /> r Address <br />� Siyned <br /> � Phone r�� J — U �/�/�j/ c�:mm�. <br /> IDESCRIPTJON: ;, r <br /> j Lot f Block Sewer District_-'� .__�- / _I� <br /> � Plat �✓�� �— �-- <br /> � " �.�"� /%�"� . .�-, "� Monthly Sewer Service_ - -r <br /> ; Unplatted Description --- <br /> i --- <br /> � Monthly Sewer Constr, <br /> ; �_ <br /> ! Type Permit: J�/,�� � �? . Trunk <br /> ; _ <br /> � _ . . <br /> i� � � <br /> Remarks: Lateral <br /> � i <br /> � Abutting Lot Line <br /> N, S, E, W <br /> ft. <br /> ' _ <br /> ; I <br /> i <br /> � — -- Approved By-' . � <br /> . <br /> � City Enginecr <br /> I � <br /> i -- �SSII@C� BY�—���--- � <br /> � <br /> i / <br /> ' Inspection By_ �i, �i l ��f� <br /> � 3 Date Inspected /l 7c' , <br /> � SEE SKETCH ATTACHED ` <br /> � � „�, N0. <br /> � . � . :Y._�Y f:'- 'x `" '�ir `� .. . , � . � <br /> `— :,.` ;�i. ��..t !f <br /> � -- - � �__ .. t �+__. .,_L"'� � <br /> u <br /> � <br /> 7 <br /> ':,'. <br />