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l <br /> ; <br /> /Jos ��� <br /> �ve•ett _ <br /> � v _ 3 , _2 �_ 5 ' <br /> I <br /> � - z.� - 7,� i <br /> City of Everett /j Q„�, �` <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> NO. �' �'_c� �', :) DATE � � . I <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip Connection Fee 7�,� <br /> Owner (Mortgagor) � Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> cu:,omer <br /> Phone <br /> DESCRIPTION: Sewer District �— <br /> Lot Monthly Sewer Servicc <br /> Block <br /> Division or Addition iVlonthly Sewer Constr. <br /> - Trunk <br /> Type Permit: _ <br /> Lateral <br /> Remarks: � �i ��. <br /> Abutting Lot Line <br /> N g E �y ft. <br /> Approved By <br /> Ciry Enpineer <br /> -- Issued By <br /> Inspection By �("^ ��`�`"�"' <br /> Date lns�ected �/Z��6 <br /> 8 SEE SKETCH ATTACHED No. 21245 <br /> INSPECTION <br />