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everen � � i <br /> � I _� <br /> � � �� � . . � � � , � <br /> City of Everett �:� � d" <br /> Engineering Depertmant , ,'; 1 � ) � <br /> Sewer Application and Permit <br /> �3bb0 <br /> No. 20830 DATE i ' <br /> Service Address ' — � /'� ;=' Utility Account No._ <br /> Billing Address � �- Cannection Permit Fee <br /> City, State, Zip ' i/ t :.' r 1 ', � � _� Connection Fee <br /> Owner (Mortgagor�_ �- ' '.. �--# Total Fee _ � <br /> Bitling Name ' <br /> Connection By ' <br /> Address Signed�' <br /> � Cmlortrer <br /> Phone .� � <br /> DESCRIPTION: Sewer District <br /> Lot _ � <br /> Block ' Monthly Sewer Service <br /> Division or Addition � � � ' � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: t. <br /> Lateral <br /> Remarks: jr � .1 II rt,:�, S . , � <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> rJr � <br /> Approved By <br /> Cirv EnBlneer <br /> � Issued By <br /> InspectionBy ____=�t/' '- ' � <br /> __ __ Datelnspected �f ' � <br /> 0 <br /> SEE SKETCH ATTACHED N0. �' (? � ?, (1 <br />