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4 <br />'` <br /> I <br /> /Ja . ; %-�" �� <br /> everett <br /> � '-,� _�p ._ ��f _ <br /> City of Everett ;'— Z 2— J > <br /> Engineering Oepartment ;/ <br /> � ,, <br /> Sewer Application and Permit � <br /> SEE 21000 +=v�c c�qp <br /> N0. L1.O � 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 Signed <br /> Customer <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: <br /> Lateral <br /> Remarks: � ' � ��, P, AS ,E,� <br /> Abuttin9 Lot Line <br /> S.YETG/� N, S, E, W it. <br /> Approved By_. <br /> City Engineer <br /> Issued By <br /> _ � ) <br /> Inspection By �� ' �'� � ' <br /> Date Inspected 9 ^ 3 "' � 5 <br /> a SEE SKETCN ATTACHED Qp��d � ��ovd s �' ZI' 7L No, 210 3 8 <br /> INSPECii�;�i ' �,._ . <br /> ..� '-+-�-•_ <br /> r-_'. i <br />