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evere�t T • <br /> � � � � , <br /> Ciry oi Everett <br /> Enpineerinp Oepartment <br /> Sewer Application and Permit <br /> :� .� �� 1 <br /> NO. 2�JgQ ,� 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 /> c�s�a,�,e� <br /> Plione <br /> DESCRIPTION: Sewer District _ <br /> Lot_ T_.____ Monthly Sewer Service _ <br /> Blor,k <br /> Division or P�ddition , Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lut Line <br /> N, S, E, W _ �t. <br /> 7.�0 /NTo FA/STiN i✓ Nir �1 ��ri,yr <br /> O//6 AS /!.[ S.Y��N. <br /> Approved By_, _._ <br /> Ciry Engineer <br /> Issued By _—_ <br /> /�7 ��y, �/ <br /> Mspection By l�Li�-���- �"'�"'�'T�_�_ <br /> ___ ____ Date Inspected_�-� ^ _ <br /> 0 <br /> SEE SKETCH AT'fACHED N0. <br />