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QYkFCY` `� ��+ , �-� <br /> � `_ ( f� <br /> � �-� �i. 1 ��,. ..� r �l `G// <br /> .� � r �-T /,J(}}�(� <br /> \�' /� ' //'� ' , <br /> City of Everett <br /> Engineering Department <br /> � <br /> Sewer Aaplication and Permit ' <br /> 33633 <br /> No. 20699 DATE - � <br /> Service Address � " Utility Account No. <br /> Billing Address _— Connection Permit Fee ' <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee - <br /> Billing Name <br /> Connection By ' <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer Dis:rict <br /> Lot <br /> Block Manthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk - - <br /> Lateral - <br /> Remarks: , �� �' - , _ - <br /> � ' Abutting Lot Line <br /> _- ,. i : °' , , N, S, E, W <br /> ft. <br /> ,, � '�e <� ,ti ;�, - <br /> - � : ,��:i c Approved By <br /> Ciry Engincer <br /> 1 ' ^� . i� <br /> -� Issued By _ . <br /> ,; ,�f... <br /> Inspection By <br /> o Datelnspected <br /> � SEE SKETCH ATTACHED N�� 2 0 6 9 9 <br /> li;�. "CC f IUiV <br /> —,e_.i � <br />