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evereC- �� S��r ,�_� <br /> e ,� 30 _ � 9_ 5 _ <br /> ,;_ Z q _ � � <br /> City of Everett � <br /> Enpineering Departmen[ ��� <br /> Sewer Application and Permit <br /> r ., _ <br /> N0. G I ; i� '�l DATE � <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By � <br /> Address S igned <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: y s �� <br /> � butting Lot Line <br /> . <br /> � N, 5, E, W ft. <br /> � <br /> � <br /> �� � Approved By <br /> Qn��/�—>� , Crty Engineer <br /> fte r.v 4L " ,/ a ry <br /> � Issued By <br /> _Ll�S /�1d��m_S cS t <br /> _�!i%/--- ,LL�-_YG �'��Sl�Y t�rr�^ <br /> . i Inspection By � <br /> i <br /> e <br /> — Date Inspected ' Z13 � <br /> SEE SKETCH ATTACHED N0. 2�,Z H O <br /> ID�'=f rrTlnP�d <br />