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eve�eti , � _ �� � _ �� <br /> �- _-' �' `" `� <br /> � , <br /> � rs �t� ���y�� � <br /> l �c�� <br /> City of Everett �J <br /> Engineering Department ,- <br /> �►ewer Application and Permit <br /> No. 210 4 9 , DATE <br /> Seivice Address _ Utility Accaunt No. '���� <br /> Biliing Address _ Con�ection Permit Fee_ <br /> Cit�i, State, Zip _ ._ Connection Fee ` - <br /> Owner (Mortgagor) _ Total Fee <br /> Billing Name _ <br /> Connection By — <br /> Address Signec <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District ? � <br /> Lot <br /> Block _ Monthly Sewer Service <br /> Division or Addition � " ' Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: , <br /> Lateral <br /> Remarks: S � <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By_. <br /> ' City Engineer <br /> Issued By � <br /> Inspection By / ` . ���,. <br /> Date Inspected �— I oZ – 7J <br /> e <br /> SEE SKETCH ATTACHED NO. 'Z L � .�I �� <br /> 1P1`.'^Ll;l I"!d <br /> '�CL <br />