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a. <br />e'ver�tt � -��% <br />� — %— 2 % ^ S du�-iC �/cjP�/�S <br />e -- <br />City of Everett <br />Engineering Department 1 <br />,,, <br />Sewer Application and Permit <br />> <br />No. 2 0 8 4 9 DATE /' � '! U' <br />Service Address ��' ''�� '�'� l p��r�� <br />Billing Addre,s ' ���E' <br />' . i. ,'�--� , <br />C�tY, State, Zip ' %� �� / i ! ,^ <br />Owner (Mortgagor) �//' �'',. � /�:.' <br />BillingName , �/"�rf_ <br />� <br />Connection By � � %'- � % �! %'�'�-.�:' <br />r, .' <br />Address -_ -� � . '_7 %(, ; )/ <br />Phnna - .. - . . / l � <br />Utility Account No. ` - -- - <br />---� <br />Connection Permit Fee � r1� �� ��� <br />Connection <br />Total <br />� i1 . �': <br />Signed _ <br />Customer <br />DESCRIPTION: Sewer District ' � ^ <br />Lot <br />Block <br />Monthly Sewer Service " - ` <br />, / <br />Division or Addition �=,!�� �/ �i� ' r� Monthly Sewer Constr. <br />— Trunk -- - <br />Tvna Pnrmit• . � • � <br />SEE SKETCH ATTACHED <br />INSPGCTION <br />Lateral I <br />Abutting Lot Line � <br />N, S, E, W ft. <br />ApprovedBy� . 'i;�����-� ��:; �, ! <br />. Ciry Engimeer � <br />,� <br />Issued By_ � � / � <br />: <br />Inspection By • �A`'�� <br />Date Inspected � -� �� <br />No. ?0849 <br />