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.. . � <br /> everett CHARTNO. � /� � � ����_ � <br /> �� _`r'� <br /> / 7 -� f'�- .._—_ . . <br /> .. !( <br /> . � . <br /> f <br /> City of Everett <br /> , cngineering & Community Services <br /> Sewer Appli�eati�n �and Permet � <br /> , _ � <br /> NO. � .�. ! ;` t _ �i_DATE --' ' / _ � <br /> /�)�.'`:, - <br /> Service Address ���C'�J _ C_�� ��1 -S i _ Utility Pccount No. <br /> 6illing qddress ��n�� �� '! r �% Permit Fee_ ��-� � U V <br /> J_- ,-_ �:, <br /> City, State, Zip�--�����r �=-'7-� � Connection Charge�s�_ <br /> Owner (Mortgagor)�'`�� i�C.� 1 ( �t�(..� Totai Fee �!7 O ..? <br /> Billing Name ��`��i'-i/ E.. <br /> Connection By c ����-- <br /> ' I<�": c --==_ ��'� , <br /> Hddress— 'G':� � �: -1 � �T, Sign� :. ;�� . -- <br /> .- . <br /> � �L J� _ ��/� Gasromcr <br /> Phone <br /> DESCRIPTION: Sewer District + <br /> Lot Block <br /> Plat Monthly Sewer Service = -' '- ' <br /> Unplatted Description_ L/.a,�y'"G • l J ' C.`!- ` - Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> _ il.,) - U.c.�,uc..c � c,u <br /> Lateral <br /> Remarks: <br /> � Abuttiny Lot Line <br /> N, S, E, �N ft. <br /> FlPProved By L � i�.`..;../ :: ! r , <br /> � City Engineer <br /> � � <br /> IssuedBy I r :_1LC_ Ft " ' / <br />� <br />� <br />� — �� ,- <br /> Inspection By-----[�1.�-t�f�ZLK-+�� <br /> Date Inspected_��7 ' <br /> R � <br /> SEE SKETI.H ATTACHED N0. <br /> ,,-.. <br /> - � - NSP�_�iiu�; <br /> , , r ,--,.--.�.,5,,,�.m ;, �---�-�:.--�ac�c--- <br /> „' - � .n �,�p°'!" _ - � <br /> � <br /> 1 <br /> � <br /> - - - - -- _� <br />