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s o <br /> ' t'.' ' ., _ _�.... <br /> . . l ^ �.�. I. <br /> ' everett J ` � �� Z. �3- <br /> � �r, <br /> � <br /> �_ � ,- , --� <br /> : � — � <br /> City of Everett <br /> Enqineering Departmenr <br /> 5evyer Application ar�d Permit 33 '747 <br /> , <br /> rvo. 2 U 7 6 3 DATE .��: n%'=`� 1__- -'LL•"�. <br /> % <br /> ' � �;� , ' , � <br /> Service Address ���1- '' + , -' �- .� ✓�' Utility Account No.,� '%� S ' ___ <br /> . F,�� <br /> Billing Address '!; �1 �>F Connection Permit Fee ' <br /> City, State, Zip C •i'G"C,/�T !'!/1 `'.� Connection Fee � � - <br /> Owner (Mortgagor)�� �� �-�"f�1. �' i - f . �>�: ......�' Total Fee _ <br /> �. � --r- "-- <br /> : <br /> B��iing Name ��..+� k <br /> , , <br /> Cannr.ction By 1� � _� �r' ��:", ' �_ <br /> � . <br /> Address � '!� � �;r^ X , , r r"Signed'�', <br /> ' - " -- � ` cu:�omer <br /> , <br /> Phone_ —' :�� _ •'�� �j r-. r ! <br /> DESCRIPTION: Sewer District T -- � -- <br /> � = <br /> Lot � Monthly Sewer Service ' ��-' <br /> Block ' <br /> Division or Addition_ �- " Morthly Sewer Constr. <br /> — Trunk . _ �`' <br /> Type PermiL i �, l ,' i, i -- <br /> Lateral ---- --- -- -- <br /> Remarks: <br /> Abutting Lot Line <br /> __ / :' f,� ;/` ,v� N S E W --___— ft <br /> � Approved By <br /> Ciry Engineer . - <br /> � <br /> -- issued Dy :-�" , < " <br /> I ' . . _. _. . <br /> Ins�ection Eiy ^�� — <br /> �i <br /> _ Date I nspected_ �S/ 7`f <br /> 0 <br /> SEE: SKETCH ATTACHED NO. L o 7 �j �l <br /> IiVSPECt IT;);I <br /> -r_��._, ._�,.• <br />