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' / <br /> everclt � � � ' i � � <br /> ;� r, � y/ �; <br /> � ` - � � � � � _ ���� � <br /> > <br /> , f ; <br /> City of Everett <br /> Engineerinp Depertment � <br /> Sewer Appfication and Permit � ;� ,,,,.> <br /> NO. `Z085� DATE — — <br /> Service Address �.— — Utility Account No. - <br /> Billing Address Connection Permit Fee — <br /> PA Y�a� <br /> City, State, Zip i Connection Fee ' <br /> Owner (Mortgagor) - <br /> Tutal Fee_ � - <br /> Billing Name — <br /> Connection By I�'�"Y,��1� '� �,7-��:.���y�.''�` ���;;.;��d �. y <br /> Signed--� ' 'a i . , <br /> Address ^is�ortre� <br /> Phone — - <br /> DESCRIPTION: Sewer Distn�t — <br /> Lo: Monthly Sr.wer Service -- <br /> Block <br /> Division or Addition_ Monthly Sewer Gonstr. <br /> ' Trunk___ <br /> Type Permit: <br /> Lateral ____ _ <br /> Remarks: ,y� �.,,�,y ,��+� �� Abutting Lot Line <br /> -- s r N� S� E. �v ---- it. <br /> fipLrlNliP . LATlR�� s O <br /> Approved 13y,. — <br /> Ci�y Enq'neer <br /> — Issucd By - ------ <br /> Inspection By�i1'._����� <br /> Datelnspected / �0 �-r <br /> o---- --------- <br /> SEE SKETCH ATTACH@D Np r, , � � ' �✓/ <br /> � <br />