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:-.P ' <br /> 2 � " `� .� ; <br /> everett ' • <br /> ,� — /�- <br /> � i <br /> . , _ 2 � _� 5 /� <br /> City of Everett � <br /> Engineering Department <br /> Sewer Application and Permit <br /> :i3'733 <br /> rvo. 20755 DATE _ �-,, <br /> Service F,ddres. '��C �� � � ::;Lc,c D r. Utility Account No._ ' -- ` <br /> Billing Address ='���-��—� Connection Permit Fee � <br /> , , , <br /> City, State, Zip ' "(;L`.L�r� (t_-:z l ''i ?( � Connection Fee i- ; r ' � � <br /> i <br /> Owner (Mortgagor) - -� •%�.'� Cf'S �n,i%� �!'/�-' Total Fee <br /> Billing Name .�'ti/2�� <br /> _ 4 <br /> Connection By •a <� E� <br /> Address `� � ' � � l7l�r:. _ Signed <br /> .. . j Customcr <br /> Phone �' . - ^, C r� <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition • %��-7 � ~ �=(�'f7=�i �" ,�-� Monthly Sewer Constr. <br /> �-•<" f-�/ � <br /> Type Permit: \ � Trunk '- � ' <br /> c,, � r'" .�. .i-' <br /> Lateral "3�� <br /> Remarks: � , � ; - ��' � � 4, <br /> Abutting Lot Line ___ _ __ <br /> N, S, E, W ft. <br /> � , <br /> � <br /> Approved By �- <br /> � �City EngineM <br /> Issued By <br /> Inspection By � <br /> Q Catelnspected 7`� <br /> SEE SKETCH ATTACHED Np• �O 7 JC � <br /> I�:`��'CC I li)i�; <br /> —e_��� .��_ <br />