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��.,-�-..�.,.,�-r..�--. <br /> � �i;�� 5 �,— � o <br /> everett � <br /> � L''— 3 / - � - r, . �, <br /> City of Everett <br /> Engioeering Oepartment <br /> Sewer Application and Permit <br /> ;, , , „ �" DATE <br /> N0. _ _. , _ <br /> Service Address_4�2� �"1�r Utility Account No. -- <br /> Billing Address Connection Permit Fee ' <br /> City,State, ZiN Connection Fee ' — – <br /> Owner (Mortgagor) Total Fee ' --- — – <br /> Billing Name <br /> Connection By D� r 1 <br /> Signed — <br /> Addf0S5 ' � Cuswmer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> uNv< 3 � -z�"- �-- <br /> Lot ---=� Monthly Sewer Service <br /> Block <br /> Division or Addition ` " Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: New Canhecti�+"t <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry EnBi��cer <br /> Issued By <br /> Inspection By �,� f-��u' '� <br /> Date inspected 5,��7� <br /> � <br /> e SEE SKETCH ATTACHED � No. 2 :1 G �' � <br /> INSPECTION <br /> ,.�-a <br />