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everen I <br /> � <br /> ;�J ��z '11 � .-, <br /> � � <br /> � - <br /> i ' ' ' � � <br /> , <br /> City af Everett <br /> tngineerinp Department <br /> Sewer Applicction and Permit <br /> 33Ei�, f; <br /> N0. ;' �I r I J i5 DATE —� -------- � - --)- <br /> , : C� _, . / �)�) ,7c� <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 /> Fhone — -- - <br /> DESCR�PTION: Sewer District � <br /> Lot _ <br /> Monthly Sewer Service_ _.— -- <br /> Block _ <br /> Division ar Addition � Monthly Sewer Constr. <br /> ---- - Trunk <br /> Typc Pe�mit: <br /> � Lateral <br /> Remarks: <br /> -- Abutting Lot Line <br /> N, S, E, W--- it. <br /> � . . . <br /> --- Approved By — <br /> Gry Engmerr <br /> __. _ ISSUB(� ��Y . _—______.. ___""_ <br /> Inspe��,tion HV-- !\ -1..«!-1•�-cir� ..--- <br /> - - — - — � <br /> --_ _ __ - ___ <br /> - - - - --. <br /> Date Inspected---..- �� ' �, � ---__ . -- -- <br /> � ---- � <br /> SEESKETCH ATTACHED NO. <br />