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ever�tt <br /> ,� � / <br /> � • � -7 --� �J `''U,c--�`// ��,��/iy.� �S�" <br /> �� C n — l r � � <br /> City ot Everett �����V E D <br /> Engineering Department AEG II �g�q <br /> Sewer Application cnd Permit LNGlNfERINd & UTILIiIES <br /> " ' ;i 3 '�'7_i <br /> �#-�� , <br /> N0. 2OH3� DATE ;';' _;�� . j • <br /> Service Address � 1• � '�� � -� Utility Account No. <br /> Billing Address ' � " - Connection Permit Fee <br /> City, State, Zip • � r��f'J� � � , Connection Fee ' <br /> Owner (Mortgagor) � : � �' ' ' ' Total Fee <br /> 6illing Name i !� � "" <br /> Connection By ' � '. � C 5,��;/ <br /> , <br /> Address �" '� %r �> � f '��"•" Signed � • <br /> . . customer . <br /> � - <br /> Phone__ '� � - <br /> DESCRIPTION: Sewer District <br /> / � <br /> Lot � <br /> Block� , Monthly Sewer Service _ <br /> Division or d tion ' � / •' �' ' Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: f— ,, ;i-- <br /> ` % Lateral <br /> Remarks: � _ <br /> Abutting Lat Line <br /> ,r . /_s' .::. N, S, E. W ft. <br /> _____ � �. <br /> l __ . /J . , <br /> _ � ' <br /> . , Approved By l <br /> _' , <br /> Cny Engineer � <br /> tQu� e ►�,�Aiw sewQv ✓� <br /> n �� Issued By <br /> �p1��G eC� Ff.t�lY2 (o �� • � J .--_�__.—. <br /> M � �In <br /> �,J< <br /> • / <br /> t <br /> Inspection 8y_ <br /> Datelnspected <br /> a <br /> SEE SKETCH A7TACHED NO. ;' (I '�; �' ;' <br />