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^everett � <br />�� .l- .1,, �..—�`a :�i��l, �_ <br />� �� > --�9 � <br />� /i <br />City of Everett % -�/.�� ' <br />Engineering Department <br />$�vvQr Application a,nd Permit <br />�' <br />N0. 2�QL4� DATE <br />Service Address_' <br />Billing Address - �� � t � - <br />City, State, Zip ' � -� <br />Owner (Mortgayorl_'�' ' �� ' <br />Billing Name • � — <br />Connection By �` <br />Utility Account Nc <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />SignerJ — <br />Customer <br />DESCRIPTION: Sewer District `s -'��� � - <br />Lot ' Monthly Sewer Service <br />Block <br />Division or Addition '' _ Monthly Sewer Constr. <br />Trunk — <br />Type Permit: <br />—� Lateral <br />Remarks: <br />.s� ' <br />SEE SKETCH AT"fACHED <br />I'Cr, i ti>[1 <br />Abutting Lot Line <br />N, S, E, W <br />,4pproved By_. <br />City Enginter <br />0 <br />I ssued <br />Insper,tion By <br />ll C�.--" /_ �`���v� <br />Date f nspected_. �� ��"��� <br />NO. i' �. O�1 f- <br />