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everett <br />City of Everett <br />Engineering & Community Services <br />Sever Application and Permit <br />NO 2214 7 DATE <br />Service Address 9 i <br />_ <br />Billing Address - <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name L O <br />Connection By. e CO <br />Address Ulu zi L01 rt. <br />Phone <br />DESCRIPTION <br />Lot t t Block <br />Plat k t-t tt- <br />Unplatted Description <br />CHART NOL& r!n ✓ Sr <br />71� <br />Utility Account No. -- --- <br />�� U� <br />Permit Fee — — <br />Connection Charge(s) <br />Total Fee — <br />Signe <br />Cwtomer <br />SEE SKETCH ATTACHED INS( LCIION <br />Sewer District <br />I <br />Monthly Sewer Service_r�l��� L n <br />Monthly Sewer Constr. <br />Trunk <br />Lateral z. I U <br />Abutting Lot Line <br />N S �iW� ft. <br />Approved Bye— <br />city Engineer <br />Issued BY / <br />Inspection By Z�9 v^- � <br />Date Inspected <br />NO. r' l <br />