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ev�rett � � j - �� � <br /> e . :� ✓ _ <br /> , .��� � ;(���/ , <br /> / , <br /> (;y <br /> City of Everett <br /> Engineering OeHartment � <br /> Sewer Applicction and Permit <br /> ^�� 210 51 DATE ' <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee � <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) ' "_' Total Fee <br /> Billing Name <br /> Connection By �>' <br /> Address � �_ Signed � ` <br /> customer <br /> Phone - <br /> DESCRIPTION: Sewer District_ _ <br /> Lot <br /> Block Monthly Sewer Service <br /> Division cr Addition � 'f /_'l .:'. Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> ; �- - Lateral <br /> Remarks: � s S�Y,C <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> ,/� <br /> Approved By_. <br /> Ciry Engineer <br /> Issued By <br /> Inspection By /�'- , <br /> e Date Inspected�/��/.f <br /> SEE SKETCH ATTACHED N0. `Z 1 Q � I <br /> ���o�r��;n-� <br />