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� c/ <br />everett <br />City of Everett <br />Engineering & Community Services <br />rt/o?' o. a 4f27' 6-2 7-7,7 <br />Sewer Application and Permit <br />NO. yy�c� DATE <br />Service Address %&(0 Tt t (\C•r ':1> t.- <br />Billing Addtass (rUZ� Cv 7-n t 1 t-- N <br />City, State, zip NI t 3V-- y-I t-.L-t✓ `7� L. 7c, <br />Owner (Mortgagor) � • tt • CU <br />Billing Name— L T C �, <br />Connection By k (• Co _ <br />Address UyZ-1 LL'—1 Ti t F'UL_ t-A E. <br />Phone <br />CHART NO � <br />Utility Account No. ' ' " C'ir' - I L-�6' -(-) <br />Permit Fee `-1 pt <br />Connection Charge(s) G+J <br />Total Fee_ <br />I <br />Signed! <br />customer 001, <br />DESCRIPTION: Sewer District <br />Lot I* -z_ Block — <br />Plat -c-It(�t._.1_ pia.. I' t>t,' Monthly Sewer Service <br />Unplatted Description_ Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />I I'SPECTION <br />Trunk <br />Lateral <br />Abutting Lot Line <br />("Nr.S, E yy (-( <br />Approved By_ �l <br />City Engineer <br />Issued B <br />Inspection By <br />Date Inspected 5 d' <br />NO. <br />