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yp . <br /> I <br /> everett � ' <br /> r-, <br /> �-'� `��� <br /> City of Everett I� � �Z — 2� �- �( <br /> Engineering Department 4/z / /7 � <br /> Sewer Application and I°er�nit <br /> NO. 2 � � J �� DATE <br /> Service Address7 ��7Ja �- l�L<w/�_ UtiGty Account No. - <br /> Billing Address Connection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) �'�r � _ Total Fee <br /> Billing Name <br /> Connection By <br /> Address �igned <br /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer District ' <br /> Lot .r' ?,,I_ <br /> Block Monthly Sewer Service <br /> Division or Addition �L��lZ C�/?C-�F.[/ �L C-� Monthly Sewer Constr. <br /> Type Permit: �(/ w Trunk <br /> Latere l <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> `�l v-c_ � <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By� c �'�'c�+�— <br /> a Date inspected 'Z�9�7 <br /> SEE SKETCH ATTACHED `� ' �' <br /> N0. � _. � .� •; <br /> � i;i.;l'��' � il;��: <br /> —.ez�i- .:.c..,• <br />