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- - � <br /> � <br /> � <br /> I <br /> everen I <br /> e <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Application and Fermit <br /> NO. ,' 1 O 9 � 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 /> . � cu:tomer <br /> Phone <br /> DESCRIPTIO�: Sewer District <br /> Lot <br /> Block __ Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: r'.p�tEO �z L3 �� — .v� .Fvs.. �, <br /> , Abutting Lot Line <br /> i< c C o N, S, E, W ft. <br /> ic <br /> !` L i % . <br /> rjilC�/J ��/IS�J� .LC �{NS5/,l�iti " <br /> � Approved By_. <br /> Ciry Engineer <br /> — —� Issued By _ _ <br /> � <br /> Inspection By � <br /> Datelnspected ` <br /> a <br /> SEE SKETCH ATTACHED No. 210 9 � <br /> "t'GCTION <br />