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everett <br /> � � _ � _ 2 � -��as-r��-�' 3//���5� <br /> City of Everett <br /> Engineering Department <br /> Sewer Appliccstoon and Permit <br /> 33 ` <br /> , ;i � <br /> NO. Z O H �Z 9 DATE %�'.��'✓ , , (� i�.-�-�.;1 <br /> , <br /> _ _ r, , . ; % ':�,:�if 'i,. ' ' Y _ <br /> Service Address � � � ' V%°�'( ;� / / Utilit Account No. <br /> Dilling Address_ - � �:�/1�i;<''� Connection Permit Fee ��' �� %' <J <br /> ) <br /> City, State, Zip � %�/'`�7 T Connection Fee <br /> n / <br /> /i <br /> Owner (Mortgagor) �^ ' �'�%i' ' % %%�:'�,y Total Fee <br /> � � . ._ _ ..... <br /> Billing Name %'l/ ' <br /> Connection By � '- , % : li���l�FiJi/�1 .�. � <br /> Address ` � � ' ' '%i --� Signed � <br /> . � Customer <br /> Phone ` `� <br /> DESCRIPTION: Sewer District " - <br /> Lot i� <br /> Block Monthly Sewer Service <br /> Division or Addition �' s�'��l%'���,� %��:%ll ���� Monthly Sewer Constr. � <br /> � _ . <br /> Type Permit: � �r�f'� � Trunk <br /> Lateral <br /> Remarks: yg�,q�p ds � oF 6 � i'iP� , risEO l� �aF � <br /> — Abutting Lot Line <br /> c.r. Y- si � oF Oo,vo. PiPE.� N, S, E, W it. <br /> , <br /> , <br /> APProved BY --� , �'.-'�i���/V%� <br /> Ciry Engir.e�r . <br /> � i � <br /> Issued By � ' <br /> Inspection By. ��� � �� <br /> a <br /> Datelnspec:ed /Z � <br /> SEE SKETCH ATTACHED No. 2 0 8 2 J <br /> � ���;.���crior. � <br />