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i <br /> everett �' 7-��0� <br /> t�� ,' <br /> � " ` ` - , <br /> ;� <br /> ` �. 4 <br /> �; ,� :� _.' . - 9 <br /> t\'�. Y 4 x:• <br /> �J-- 2 b ' 77 <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicatioe� ��u °�rmit <br /> N0. :_ � �' �' . . DATE <br /> Service Address L.� Utility Account No. <br /> Billing Address Connection Permit Fee <br /> Gity, 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 District <br /> Lot 3(� �,y�� Monthly Sewer Service <br /> Block <br /> Division or Addition _ Mo:ithly Sewer Constr. <br /> — Trunk __ _ <br /> T�ipe Permit: ' <br /> Lateral <br /> Remarks: _ Abutting Lot Line I <br /> "!• ' N S E W fL � <br /> !1 <br /> Approved By <br /> Ciry Engineer •- <br /> Issued BY <br /> �� 1 i <br /> , <br /> Inspection By �� ' � � ��`•Z^"��'�'—" / <br /> t <br /> Date Inspected � "' � �-1 � 7 � <br /> e SEE SKETCH ATTACHED N� 2161 � <br /> INSPECTION <br /> I <br />