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;_ , . <br /> �\ <br /> CVC Cll • <br /> S - � Z — z 5S — � -/��� �3� z��s -/�S <br /> � <br /> City of Everett <br /> Engineering Department <br /> �ewer Application and Permit <br /> 33 �5 ' � <br /> No. 20767 DATE - � � �� <br /> 8 / Vd� <br /> Service Address,-'•- �i -� r Utility Account No. �- '" � ' <br /> Billino Address - Connection Permit Fee -%' =� _ <br /> City, State, Zip Connection Fee - <br /> Owner (Mortgagor) ' _ � � Total Fee �; -- <br /> Biiling Name - <br /> Conneccion By- �- � <br /> Address � � Signed <br /> Customer <br /> Phone - ' <br /> DESCRIPTION: Sewer District � - <br /> Lot �, <br /> Block � -- Monthly Sewer Service ` <br /> Division or Addition } Monthly Sewer Constr. <br /> . , ,: � <br /> Type Permit: _ M1 Trunk <br /> . j ' Lateral <br /> Remarl:s: <br /> Abutting Lot Line �� <br /> __ N, S, E, W � ft. <br /> Approved By r� � <br /> � Ciry Ene:neer <br /> Issued By ` - - <br /> Inspection 8y (� C <br /> e — <br /> Date I nspected�Z`� <br /> SEE SKETCH ATTACHED N0. j `-' � <br /> _ , . U I <br /> ir�.. ��,, , io , <br /> —GL - <br />