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I\ <br /> everett . � <br /> � ��, I S <br /> �_: , <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> N0. ZO7HH DATE � /1 <br /> 8S3�' -r <br /> Service Address Utility Account No. - ' <br /> -- ': i; <br /> Billing Address_ Connection Permit Fee � � ' <br /> City, State, Zip Connection Fee "� <br /> pwner (Mortgagor) Total Fee <br /> Bil;ing Name <br /> ,, r <br /> Connection By �-����f -�� � <br /> Addre�s - r ��f.'� ' Signed_ i ; <br /> Customer <br /> Phone.— � <br /> DESCRIPTION: Sewer District <br /> �ot — Monthly Se�ver Service <br /> Block <br /> Divi'sion or Addition - Monthly Sewer Constr. <br /> Trunk `" " - — <br /> Type Permit: ` <br /> Lateral - " <br /> Remarks: �` ' �' '� <br /> � " .�H � butting Lot Line <br /> Co�9 l�riiD ' S���"CH. � zevv,� N� S� E, VV ft. <br /> C• .s co,v .e c r6 o s <br /> �c iG i.✓ , Lni/S <br /> Approved By �` ' <br /> �� �� 0, /OS ✓� —yZ- CityEnginecr <br /> Issued By <br /> Inspection By ��'!t� �t��- <br /> Date Inspected_�� �5� <br /> 0 <br /> SEE SKETCH ATTACHED N�• i �i 7 � �; <br />