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� d <br /> everett i%� ; / '4i <br /> � `� ��re Z `T - � <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Applicction and Permit <br /> NO. G .'- == 7 � 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 /> — � <br /> DESCRIPTION: Sewer District t '' <br /> Lot <br /> Monthly Sewer Service <br /> Block • � <br /> Division or Addition Monthly Sewer Constr. <br /> � <br /> -- Trunk <br /> Type Permit: , <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> / ,����, - /�� ��.� N c� ,�-� /"' !l �- %C-. N g, E, W ft. <br /> , <br /> r ;� ,�i �� <br /> i��= �� ���' �, ���� . v J. <br /> c; � <br /> ,_, ,, Approved By <br /> lr -"7� City Englneer <br /> Issued By - <br /> Inspection ey <br /> Date Inspected <br /> 6 <br /> SEE SKETCH ATTACNED N�• Z�.4 2 G <br /> �NSPECTION <br />