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.,_ � <br /> ._ �� 5 / ��-�' <br /> -iTvere►! <br /> � � <br /> i����- 3 �' - z 2� � <br /> City of Everett <br /> Engineering Ur.partmeo. ,� <br /> Sewer Application and Permit <br /> N0. � � v �i j DATE <br /> Service Address 4�o�%� C L E'• � �L fX�G7 Utility Account No. <br /> Billing Address_ Connectior Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By _ <br /> Address Signed_ ' <br /> � Costomer � � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lat �r/ g/�.1�/�6� �NCri7 Manthly Sewer Service <br /> Block �[.q)' /202-�%j <br /> Divi>ion or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: O.v.r.c-C77o <br /> Lateral <br /> Remarks: <br /> -- Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> s <br /> Inspection By—,� �=2�� _ <br /> e <br /> Date I nspected �,2i�L7 <br /> SEE SKETCH ATTACHED � NO. �' ' � r � <br /> �,, ,;�;�..;, <br /> —ec_. <br />