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everett ' �� _ <br /> �� � , �, . . . <br /> 1 � � � C / i i �� ��� <br /> e _ � � , _ z, _ ����� ��_� ��.,��, ���� <br /> . . <br /> . <br /> City of Everett <br /> EnNneerinp Department <br /> Sewer Application and Permit , <br /> ' �i , ��, 3 ;i7h7 � <br /> N0. c�. O 7 H J DATE ' ,' - <br /> ServiceAddress ��%%� ,�JL � ��v/ � � UtilityAccountNo. _ <br /> Billing Address ��' f �i l/ lit/<� . /� Connection Permit Fee -� ! � �'�` � .__ <br /> . <br /> City, State, Zip . �/�K�� 7"'� '/.:f.� �%'i�' Connection Fee - -- -------- <br /> Owner (Mortgagor►Li�� 1 // 7 ' . i�1.:%Ll���-� Total Fee_ -- ��� <�� �-) __ <br /> 8illing Name �%j�f� <br /> Connection By �/ i� r' 1';��� �'�-'�.�1 i i� <br /> Address � ( • •"� - � � '� ' �_. J Sipned <br /> '-:�. . Cu3�Omer <br /> Phone�� _ �/ �� /1 .=— <br /> DESCRIPTION: Sewer District %V�n� %l� / ;�iKJ <br /> Lot % <br /> Block / Monthly Sewer Service ` � � <br /> Division or Addition .P�L /�% �1` Monthly Sewer Constr. <br /> l�(�G�_ { �_�_�r �r-f �lf �'���� <br /> Type Permit: <br /> —�� Trunk _ _ -------- <br /> %vi' � r � i: ,� ;'i/)/i r r , ] Lateral -------- -- <br /> Hemarks: <br /> Abutting Lot Line <br /> N S E W ___ _---- ft. <br /> � <br /> APProved By �- • , ,'Yi✓�!�'� � <br /> City Enpinex <br /> � r <br /> � � /. ,I <br /> iSSUBd ey - �� � � ' <br /> -� . ,,� <br /> � ' , - ; = <br /> Inspection By �d��J �l7oLL. <br /> o Date I nspected. /�—Z 7— ���_ <br /> SEE SKETCH ATTACHED No• 2 0 7 8 9 <br /> I�;',PLc� �� ,N <br /> r <br />