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<br /> everett � i
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<br /> City of Everett � - ,
<br /> Engineering & Community Services ;, �
<br /> SewPr Application and P��mit � `'
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<br /> NO. % � 3J / DATE G= I��� I)i; _ ,
<br /> Service Address �--` ��-' � �^v�'�-� ''��'�= Utility Account No.
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<br /> Billing Address �-�L'Cr'�-- �J��� �U� permit Fee 1 ��3• C'U �
<br /> City, State, Zip C�/�t=�77`� � �� `'��''� Connection Charge(s) _, �
<br /> Owner �Mortgagor►�u�� �Nt�u`•=-��zrAC. ��PFL'+Cfd�glFee � �U . �G
<br /> Billing Name� ��'` 't.���u_,ZtLI�, �pN�(�L=, -''� i
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<br /> ConnectionBy ����--�i��+ ���-�`-�o'�� �N'riz � %i �
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<br /> Address�l"� {�..=� (.���, Pil�y?�,u�t:�-� Signed r' ��l c.c,,,� ' I
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<br /> Phone �-c'��/ — �-C;� ,,'
<br /> DESCRIPTION: SewerDistrict '�+�=k'77-LC:n�/�
<br /> Lot `-{ — 1 �> Block �-`'�' � (y�-Tt-�Z,,,�; '
<br /> Monthl Sewer Service_ '-'
<br /> Plat �`i'I, cC.� �r�._L L��..- u '., � ; Y —
<br /> Unplatted Description Monthly Sewer Constr. �
<br /> Trunk �
<br /> Type Permit: N�;;x.; �..cn�i..1L,e.sn C��.1 ��
<br /> Lateral j
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<br /> Remarks: Abutting Lot Line I
<br /> N, S, E, W fL
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<br /> Approved By �(
<br /> City Engineer i
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<br /> i55�ed av L . C�e-c:,�R.s�,�.J ;
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<br /> lnspectio� �
<br /> Datelnspected������,�� j
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<br /> SEE SKETCH ATTACHED N0. �� c} i i i ; ,
<br /> INSPECTION
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