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evered <br /> � -, -' � i <br /> �� LU _ 2 � _ �. <br /> City of Everett <br /> .l <br /> Enpineerinp Uapartment - � • <br /> Sewer Application cnd Permit <br /> NO. � � Ei_L 4 DATE <br /> asi � ��.�. -- <br /> Service Address Utility Account No.__ <br /> Billing Address Connection Permit Fee <br /> City, State, 2ip r Connection Fee <br /> Owner (Mortgagor) . Total Fee <br /> Billing Name,_ <br /> Connection By r <br /> Address Signed � <br /> � <br /> Phone_ c�.m�„e� <br /> DESCRIF'TION: Sewer District <br /> Lot /j :�_ 2 �� �r �} . <br /> � <br /> Block�_ Monthly Sewer Service_ <br /> Division or Addition_(__: ��_ _ Monthly Sewer Constr. <br /> 7ype Perr.iit: ��� '� — Trunk <br /> _ Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> — y;'�—.����'—�.._' "`' N, S. E, W ft. <br /> � . � . <br /> , - <br /> r c� <br /> � Approved By_ <br /> r <br /> Qty Enpmeer . <br /> � ISSUEd BY , <br /> 1 / <br /> Inspection By �yiCs:L_ � �, �' <br /> o Date Inspected_ ��� `�'�7� <br /> SEE SKETCH ATTqCHED N� � � (� � 4 <br /> ,�� , ;�� ; �:��,� <br />