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everett <br />� <br />City of Everett <br />:�Engineering & Community Servicas <br />Se�nrer Applic�fiior� and Permit <br />N0. ��l7�; <br />Service Address�� ���'�¢ <br />giiling Address <br />�` Cc�-�= 4. <br />DATE =.'; � ? n- � r7 <br />p � /3-� �`�'�` <br />CHART NO.n I <br />�'�� � ,'_�' i.� z 3 <br />' 3cn - �� c}- c�c, <br />��Tf�� ��v�• L.U• UtilityAccountNo.=�� <br />c"`�`7'r� 1�L'E. . �t✓ Permit Fee �i0. ��"� <br />City, State, Zip�..�E.�G�77: �.U., `�f":-7....E"%Q-. <br />Owner (Mortgagor) �+4'����� � � � �•'UTG!.L1 <br />Bil!ing Nama C=/�_/,<JL�� � • �C4'T���J <br />Connection By CL-Lf"" — <br />�,�,��o« �Cc+G�f �':�-y_, ,!�v�. L(l <br />Phone ��3 � '7 � �' � <br />DESCRIPTION: <br />Lot � �c� <br />Plat ��=-f'f=E.K� <br />Unplatted Description <br />Type Permit: i��(:'Lt-' <br />Remarks: <br />C�aa��!.i�. �-ti�t NG r1r...c.-r 7e: �. �-t-� <br />L. - / 1 -�-�1- �=c� �Uc� n �` � — <br />SKETCH ATTACHED <br />Connecti�n Charge(s) G��' � ����" �'��ZT� �! <br />�, C�u <br />Total Fee <br />_> ,, <br />Signed `:='% r � � ,"r � - <br />� � Customer <br />INSPECTION <br />Sewer District_ <br />Monthly Sewer <br />� �'.�00-�0 .L� <br />•�.�.�"Z.� <br />, <br />Monthly Sewer Constr. <br />Trunk �'� l� 2 <br />Lateral <br />Abutting Lot Line <br />N, �, E, W — <br />:ppreved By � • �;�F'.7/N/.t-�� — �I' <br />Ciry Engineer <br />�55��ed av L • G�au.-;�«x�� <br />.• . � <br />� .•. •. <br />• <br />?!%ms4 + ?irF � <br />� �' �� �S�' ' �Y a s : .; <br />{,�i + �+�!.'4 .,'iiA� t.0 . h r � `� <br />