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CHART NO� <br /> ' everett <br /> City of Everett <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. ?20� � DATE / � tZ77 <br /> Utility Account No. <br /> Service Address 1 o� <br /> rz Permit Fee � <br /> Billing Address 7AF'f <br /> Z03 Connection Chargo(s) hri i r r� <br /> City,State, Zip. i,"(f/7— <br /> Owner (Mortgagor),2&/—,/V-",--- 11e- V Total Fee <br /> Billing Name / <br /> l/ 5 ✓ <br /> Connection By <br /> z .� 7iKiir/J r/ Signed Customer <br /> Address <br /> — r <br /> Phone <br /> A, Sewer District <br /> DESCRIPTION: <br /> Lot r Block Monthly Sewer Service <br /> Plat t3f <br /> U —Monthly Sewer Constr. <br /> nplatted Description <br /> Trunk <br /> Type Permit: Gp,ur'r 1?C. It O `/ — Lateral <br /> Remarks: Abutting Lot Line ft <br /> N, S, E, W <br /> LCu iJ / IrM <br /> APPrnVed BY frtrr„ <br /> Cry Engineer <br /> Issued By- <br /> i <br /> IInspection By�?d �" <br /> r _ <br /> _ Date Inspected <br /> SEE SKETCH ATTACHED_�SPCCTION <br />