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everett <br /> � `/ 1 ' <br /> / G' ' / ciSfE,%� <br /> i`� � � ^a�� '.� ..I� <br /> City of Everett . <br /> Engineering Uepartment �' - =.3 i i <br /> Sewer AppCication ancl P�rmit <br /> NO. �� ! i� ': l� DATE <br /> Service Address/��5.("��,(�(1AD�l�C� Utility Account No. <br /> Billing Address C�mnection Permit Fee <br /> City, State, Zip , _— Connection Fee <br /> Owner (Mortgagor�_: > Total Fee <br /> Billing Name_ <br />_ Connection By_ ' - ��*'�. <br /> Address � Signed . - <br /> Cu:tomer <br /> Phone <br /> DESCRIPTIO�J: � Sewer District ' <br /> Lot Monthly Sewer 5¢�rvice_ <br /> Blnck u,��,�� i7-z y-7 <br /> Divisior. or Addition__ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> L3terel <br /> Remarks: <br /> — Abutting Lot Line <br /> N, S, E, W ft. <br /> � v_�� � o_ -, .,.,., �=2 1 (fl O S � I`t 1 <br /> � �- ' / .r�.. . � n.•:n, ., � '1'0.�- <br /> Approved By <br /> � Ciry Engineer - <br /> Issued BV <br /> Inspection By � �-�-��� � <br /> __ Date I nspected ���! � 7�T 7 <br /> i P <br /> SEE SKE7CN ATTACHED N0. ��� j� �i <br />� � I!!�i',:C��'.r?; <br /> �,.��, . <br /> "g�;ti: <br /> ��� <br /> y: <br /> ''ti',. <br /> r <br /> �'��, � . <br /> �.;r :- <br /> _ � <br /> � �»t `�� <br /> � ����'� �.��`-; <br /> _s.. - - . " ' , � .. <br /> . ..��a�.:: -��., -- - . . _,_ . _. . _..:�._..y..,�.._ - - ,.....�..�:,..,.v.,......_.�.s....�«.�,...�........�..�......� <br />