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� . . <br /> . \ <br /> �. <br /> � <br /> everett "J ^ ,—_ �'_ �� <br /> �' �� J . <br /> � ir- � - yg-- s <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> -- rvo. 21 G 2 � DATE <br /> Service Address���ri—/���n-�-L C� Utility Account No. — <br /> Billing Address Connectian Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection E3y_���� �'�r�,v� G'f-P�/� C; �� <br /> Address ('���-�r�r. �'d�- _ Signed _ <br /> Customer <br /> Phone �� 9���� <br /> fJESCRIPTION: Sewer District <br /> Lot _,�-�=3� <br /> Mon3hly Sewer Servi�:e <br /> Block <br /> Division or Addition�����.�.���,�� �� Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: • <br /> _ �� �1 Lateral__ <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry Engineer �� . � <br /> Issued By <br /> Inspection By �� ��-U`yu`"''� <br /> ' Date I nspected��/7 7 <br /> a _ -. <br /> SEE SKETCH ATTACHED N0. ? �_ � � 2 <br /> IfdSP�CTIOI� <br />