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i <br /> everett <br /> .e � _ , . � ��,� , . =, :,' <br /> ', i �. <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> � �� i � <br /> NO. 2 � 7Q3 DATE <br /> Service Addres, — U[ility Account No._ <br /> Billing Address Connecti�n Permit Fee <br /> City, State, 'Lip= � ' ' Connec:ion Fee <br /> Owner (Mortgagor) Total Fee -- <br /> Billing Name_ <br /> Connertion By <br /> Ac'dress _�^ Signed -- <br /> Cuslomer <br /> Phane — <br /> DESCRIPTION: Sewer District____— <br /> � <br /> `O1— Monthly Sewer Service <br /> Block__— <br /> Division or Addition —Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: , <br /> Lateral <br /> Ramarks: �/O /N5� .�S d� /�z/' �y <br /> / Abutting Lot Line <br /> .Qi�' N, $, E, W _ ft. <br /> Approved B�_ <br /> cnv Engimer <br /> Issued By <br /> Inspection By <br /> — --__—__ ---— -- <br /> Date Inspected_ <br /> e <br /> SEE SKETCH ATTACHED �`10• `� (� I Q 3 <br /> I <br />