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I <br />i SEE SKETCH ATTACHED <br />_• .T_.,al . _.-..,—^�sT,.s-1 �I^.�`�il���_(�llll�i��l <br />everett <br />� <br />City of E�erett <br />Engine2rirg & Community SPrvices <br />Sewer i4pplication and permit <br />%l _ � �_ ^. <br />CHART N0. �-, — � ` � ' ' <br />/' - .,. i� .� /'� <br />NO. `' I ? l) `J DATE ���'•�% % <br />Service Address �- �--' f � " T . <br />% <_`, i, /..SG-G: CC� , <br />Utility Account No. :.� `��c' ��% - C` f: <br />Billing Address ��Si �� �-yTi� .�C!L. • (^,(,) � <br />Permit Fee�_nU <br />CitY, State, Zip� "C-�.! ='E_7T LUi) .%,� zC7 t,� 9( 1 �G �G�. UU ,J <br />_ Connection Char e s. /-G�..:: ?rii_•�7 <br />Owner (Mortgagor��G'��� ��� Z11ni L� Total Fee �-�' �`� �'�' <br />Billing Name!� '�-� � � �'Z /JN t. <br />Connection By �'��/`�'��- <br />Address '_�'`-�1 � �-T.-' /� �.C.,) <br />`"!� • -- Signed --- <br />' ,_ <br />Phone J�7�, - %' � 5� c��si����,,-- <br />DESCRIFTION: <br />� <br />Lot _ . <br />r <br />Plar :Ju�uE'.� <br />Unplatted Descriotion <br />Block <br />.��lVi� . <br />Sewer District l`r j L^ "/:: C`y- ,_ ,! �! <br />Monchly Sewer Service <br />� � lJL,� <br />Monthly Sewer Constr. <br />Trunk 2 � ~Z �J� <br />Lateral <br />Abutting Lot Line " <br />N, S, E, W <br />Approved By `--'' f �����/�. C.� <br />Gty Engineer ' -'-- <br />ssued By � _ �_-✓'JLL/JI�,t;�C,/ <br />r <br />nspection By� , ���A_� <br />iate Inspected r y�%7 <br />NO. F_�s.i;., <br />r —r.�r�--g.�.."';�� . . <br />... ,. ���� , <br />