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evcre� <br /> � � _ -, .� ' <br /> L � ' "� � <br /> ; �- �- - <br /> - ,; , <br /> ��, S � �,P !/� ,-� �'� <br /> City of Everett <br /> �` ; <br /> Engineering Uepartment �" ` <br /> Se�nrer Application and Permit <br /> NO. LO� 6� DATE — ' ;�� i . <br /> i , <br /> Service Address " � Utility Account No. <br /> 3 - �� s--rS6 - OI <br /> Billing Address ' Connection Permit Fee <br /> City, State, Zip — � _ Connection Fee �� _ <br /> , <br /> Owner (Mortgagor)__ , , ! - Total Fee <br /> Billing Name_ <br /> Connection By <br /> Address Signed <br /> Cusiomer <br /> Phone <br /> DESCRIPTION: Sewcr District — � � <br /> Block Monthly Sewer Service_ ' '_'_'._L.—'—______ <br /> Division or Addition_ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Laterel =- <br /> Remarks: " <br /> G ��'N�. f/PE �'CN C /S <br /> Abutting Lot Line <br /> j/ .✓!ic' � /N FRCN P L 95 f'P,C S CT�/Y N,(S��E, W � __ � � ft. <br /> Approved By_. <br /> City Engineer ' <br /> Issued By ' <br /> Inspection By �� � �`�� <br /> Date I nspected_�����s' <br /> 0 <br /> SEE SKETCH ATTACHED NO. '3 n r' ' � �� <br />