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e�eretf /-�� S / �= � <br /> � � — �o — Z `� — 'J i . <br /> ! - Z 3 - ?,C <br /> �City of Everett ' <br /> Engineering Depertment ���� /C� , <br /> Sewer Application and Permit <br /> NO. � 1 i �� l� DATE <br /> Service Addr.:ss ' ' � � Utility Account No._ <br /> Billing Address Connection Permit Fee _ <br /> City, State, Zip ' Connection Fee - <br /> Owner (Mortgagor)�.1lNl ' % - Total Fee <br /> Ir. ...� <br /> Billing Name cl '� " - r- - /' <br /> l'�LsL GG.�z�t�-_,�.,-n<;{� .t: <br /> Connection By �.� " (p'7rN ,�L�" � �t'��^+"�,��y�,4;� <br /> f <br /> Address ' Signed - � <br /> cu o <br /> Phone � ,On,������ <br /> 7j�- z•SS� -«'� �l/� p��,�c <br /> DESCRIPTION: Sewer Dis!rict i�� <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: - Trunk_ <br /> Lateral <br /> Remarks: �I� <br /> Abutting Lot Line <br /> ��ii 2��ze..�el�� lz�i-r,y�v2t� � '' N, S. E, W ft. <br /> z� m ._. 9� <br /> �'- .r i- �� .y !i <br /> a. <br /> — Approved By_ <br /> Ciry Enginecr <br /> Issued 9y <br /> Inspection By -{ <br /> Date I nspected_"�� -7 . <br /> 9 <br /> SEE SKETCH ATTACHED ' NO. `�� ? EJ U <br /> — �,� :�=a � � � a. � � . � ■ ♦fs^i�� '` Nt <br />