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everett <br /> � `/J . J � r � � r � _ <br /> �'� <br /> -, r_ � �� ,/� — <br /> �` �� � <br /> City of Everett <br /> Engineering Department _�` <br /> �� <br /> Sewer Application and P�rmit <br /> No. 2 u 9 6 � DATE — -- <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee - <br /> City,State, Zip � � Connection Fee -- <br /> Owner (Mortgagor) i . .-�-r� Total Fee -- -- <br /> Billing Name �`` ' <br /> Connection By <br /> Address Signed ' -- --- <br /> cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot �qonthly Sewer Service <br /> Block_ <br /> Division or Addition Monthly Sewer Canstr. <br /> — Trun�; <br /> Type Permit: , <br /> Lateral <br /> Remarks: C,A/Vc•EL O,�,P,yiT 8�/ ,� <br /> Abutting Lot Line <br /> u�✓,oB� � T C' i✓Ti/C T a���✓��r'._� N, S, E, W ft• <br /> !/N./�C E T i95CE�P7'A/.✓ /F SrF.�.0 <br /> l+�As cSOF`'ED O�F. <br /> AF�proved By_ '�- <br /> City Engineer <br /> ' /'. <br /> ` � � / ! � / <br /> Issued 8y ', � , ; �'� ' <br /> r�. �� <br /> �1 !.�;�.I <br /> In;pection By_ — <br /> Datelns,r,ected ��'=- � ^ u ��� <br /> e SEE SKETCH ATTACHEn .....___ ND• I_O�F�"– <br /> CITY 0 �':`•���ETT <br /> fn��i, . . � �. <br />� <br /> I <br />