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everett - <br /> :� <�-��:� <br /> e �� J-��� <br /> �.:� r�7 - 2S -s <br /> City of F.verett <br /> Engineering Department ��?6,�77 <br /> Sewer Appl�cation and Permit '�� '`�� <br /> s, <br /> s �F.:4 <br /> H <br /> .r ' <br /> rc„�}�+ <br /> ��z <br /> NO. L L l: _. �-• DATE ��3e <br /> ;:r�a <br /> Service Address k1eZa/Lp�Olo�t (/ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> r <br /> City, State, Zip Connectian Fee <br /> Owner (Mortgagor) Total Fee � <br /> Billing Name <br /> Connection By <br /> Address Signed_ <br /> Cusromer '� , <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�3� <br /> Block�� Monthly Sewer Service <br /> Division or Addition�j{4,� � �� C Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �w�/(„ LJ. � �" <br /> Lateral <br /> Remarks: <br /> � p � Abutting Lot Line <br /> �- �iL�.-�¢-o � � N, S, E, W ft. <br /> u2 C° � ' <br /> Approved By <br /> City Engineer � <br /> Issued By <br /> n �Cy'-- <br /> Inspection By N ��-��" ' <br /> Date Inspected ��/ 5��7 `7 <br /> e <br /> SEE SKETCH ATTACHED No. ?_ 1624 <br /> :��sPec-i ior� <br />