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everett � ='� <br /> �'j � - �- � ( <br /> $�i %/ 7�� <br /> e -� � o s�-�� � <br /> � ��� <br /> � � <br /> City of Everett <br /> Engineering Department �C° <br /> Sewer Application and Permit <br /> No. 209G3. DATE _�1'/, / 7 `�- <br /> Service Address -�' '-! % I,--��i - --- /�, � Utility Account No. <br /> Billing Address `�'� �7. �T:t.�i� �_ - i;'.; Connection Permit Fee_ %� ' - �" � <br /> CitY, State, Zip �". � -r� �->- � r'l,: c.-'�r!: >f _ , <br /> Conr�ection Fee <br /> . , <br /> I <br /> Owner (Mortgagor►_�- �r�� ,- �f ti>.; , : Total Fee �% . `'� '.--' <br /> � , <br /> i. <br /> BillingName_r'� : ,',-- �f � - .. : <br /> Connection By_ <br /> Address_ ���/ Z —r-,?, p,� Signed <br /> Cusromer <br /> Phane Z� Z -�u6 f <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block `� Monthly Sewer Service <br /> Division or Addition - �:,_.:� ` �-- �� ��_.� Monthly Sewer Constr. <br /> Type Permi.: '�./, i ';-�:.'.:Y-.. <br /> Trunk <br /> � Lateral <br /> Remarks: �����o fN. <br /> Abutting Lot Line <br /> r .o -' ' .c. .F'o . e..riE N, S, E, W ft. <br /> Al'c-a�eoi.✓G o o,,. ,F/1. — a iNs l�Tio <br /> M�✓Or , <br /> � �/� . <br /> / / <br /> Approved By'-_ ' `( . /; ! -,: . ; <br /> City Engineer , <br /> iJ � <br /> � <br /> Issued By '' � i� i, <br /> Inspection By <br /> �,- Datelnspected '_�,ri i���� <br /> � <br /> SEE SKETCH ATTACHED .-���p����,�,f������ � ^ <br /> uU <br /> If�1SP�:;T!(i;: <br /> ..............._ _..__. <br /> _ _ ................ <br /> CITY f;� rv�ncTr <br /> �,t <br />