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ne�erett � , ' � <br /> � �� , , � � , ri <br /> � %-' '� <br /> City oi Everett �A <br /> Engineering Depertment 0,1' <br /> t <br /> Sewer Application and Permit <br /> NO. �i 1 U / g DATE <br /> Service Address Utility Account No. <br /> Billing Address Connec!ion Permit Fee <br /> City,State, Zip <br /> Connection Fee <br /> Owner (Mortgagor) Total Fee -- <br /> Billing Name <br /> Connection By <br /> Address_ _ Signed <br /> cu:torr�er <br /> Phonc — <br /> DESCRIPTION: Sewer District <br /> Lot - Monthly Sewer Service <br /> Block <br /> Division ar Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: �f��t�c�) �T wEaT P�Po.�� Abutting Lot Line <br /> !�F �u:S C e, ,r.,p,v,i) . .Srwr�.P <br /> N S E W ft. <br /> �pt�R c1/ /✓ /=~/��b.�S P � . <br /> ,r % <br /> �l��ex� Approved By_. — <br /> �. E � � � Cily Enqmeer <br /> Fif'a}•• Xo,o/� nF �' �.�/�< < Issued By — — <br /> —,f1r:���rr�✓ •� �� ro � <br /> _ , � � <br /> — — Inspection dy — — <br /> Datelnspected — ?2" <br /> 0 <br /> SEESKETCH ATTACHED N0. <br />