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t; <br /> everen ,� <br /> �� ' � — Z �'��`��� ���J�� <br /> � ` i : <br /> City of Everett <br /> Engineering Department ` � <br /> Sewer Appl�cation afld Permit <br /> .s �i �� t 1 <br /> No. 20820 DATE � � <br /> - , , <br /> Service Address � = E' � ' � Utility Account No. ��' - �.� "- � "� ,� - <br /> Billing Address � �r'-` Connection Permit Fee ~�i� �i r i <br /> City, St�te, Zip ' ' ` .%'f�"��• � . Connection Fee •'� � ;`�,'! - <br /> Owner (Mortgagor) � f � � r , ,; %,� Total Fee / ) .'�i ,"�1 <br /> Billing Name ' '�"-�� <br /> Connection By • i�'� `- �-�� <br /> Address � '- Signed <br /> Cusromer <br /> Phone � - � <br /> DESCRIPTION: Sewer District �%`- i.` �� �' �- --- <br /> Lot - <br /> Monthly Sewer Service .��� � ` � ` <br /> Block <br /> Division or Addition ' 'C=�"��- ' ` �' � ' Monthiy Sewer Constr. <br /> � Trunk <br /> Type Permit: , '!/ j % 1��,�i <br /> Lateral <br /> Remarks: �a� nF ✓M. �� sFwc i'ia.E s� •, <br /> Abutting Lot Line <br /> .rs s,yoi✓.� e�r srcrz�iY, N, S, E, W ft. <br /> �,� ., o-�;. <br /> Approved By- - ' ' <br /> Ciry Engineur <br /> / <br /> Issued By , <br /> Inspection By ��� � �^�� <br /> Date I nspected /a�f�9� <br /> 0 <br /> SEE SKETCH ATTACHED N0. L O t� i� O <br /> : 'PGCTION <br /> —.r__, <br />