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everett /�o a� T`C� ' <br /> S /Ll— /? �. �''j -- � , <br /> City of Everett <br /> Engineering Department <br /> Sewer ARplication and Perrnit <br /> NO. DATE _ <br /> Service Address Utility Account No. <br /> Bi!ling Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagcr) Total Fee <br /> Billing Name <br /> Connection By _ <br /> Address Signed__ <br /> Custamer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot 1 <br /> Block_ _ Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Pen, �t: Trunk <br /> Lateral <br /> Remarks: <br /> Ab�cting Lot Line <br /> `Z=P� ' �2-•- � _ � �� _ N, S, E, W_ ft. <br /> c , �-�C ��r�a � �2v= i <br /> i�_� T�--1 i 3 i F � 3 t�' �-t13ra;�,'� aP f'. <br /> N\I�JJfa �/ 3�-[vJ.� `-1 �-�JtJ$ .S � <br /> Approved By_ <br /> � , CitV Engineer <br /> Issued By <br /> - � <br /> , - - ,�, <br /> Inspection By � `r�� -1��— <br /> 0 <br /> Date Inspected <br /> il� lv� �V <br /> SEE SKETCH ATTACHED N0. `� I � ,f`, r <br /> il <br /> �_ <br /> � <br />