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� / <br /> /L � <br /> ��everett ' /�� S .' <br /> � �'j / �. � _ , c ,) i <br /> � <br /> City of Everett Z"'—�C� �� <br /> Engineering Uepartment /� � // <br /> Sewer Applica#�c�n s�r��! Permit r `� <br /> `' ' � � � DATE � <br /> N0. � — — <br /> Service Address ' ` Utility Account No._ ' <br /> Billing Address _ ' ` '� Connection Permit Fee <br /> City,St�te, Zip '� Connection Fee � ' � <br /> Owner �Mort�agor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Customcr <br /> Phone <br /> DESCRIPTION: Sewer District __ <br /> Lot Mcnthly Sewer Serviee_ <br /> E31ock <br /> Division or Addition Monthly Sewer Constr. � <br /> — Trunk <br /> l ype Permit: <br /> — Lateral _ <br /> Remarks: �S �l,,; ,� „�l� Abutting Lot Line <br /> �Q�%d�'.s yl.^S�"�i�� Orti �nr" ��liC N, S, E. W ft. <br /> �"7i�YI�79 _r.. <br /> l'o� ��1r�c.� ST''a�7ii�a 7'�•� <br /> --T ^ 2�Z�i6 <br /> � Approved By <br /> �A1 �h'�/� �� �a City Enginecr <br /> /`d%" ��a�'l'7�'//i1;9'G/__ ��- . <br /> — Issued By <br /> Inspection By�� � <br /> Datelnspected � ' <br /> 3 SEE SKETCH ATTACHED No. 212 2 9 <br />