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^�ie_ett �-- <br /> e ( -�/ �� -�T� � � /� <br /> . <br /> �_ � 2 n <br /> Y) .� l �'I'-C. .�/y"l�'rJ.�A�fll f!? . <br /> 1� <br /> City of Everett ' <br /> Engineering Oepartment � <br /> Sewer Applicction and Permit <br /> 34«���� <br /> Na� 2 0 9 5 � DATE — <br /> Service Address Utility Account No. ' ' ' - <br /> Billing Address.—. Connection Permit Fee -' - <br /> � ( ,� � <br /> City, State, Zip Connection Fee ` ` �` ' ' — <br /> - , <br /> Owner (Mortgagor) � Totai Fee <br /> Billing Nan�e <br /> r <br /> Connection By <br /> ` ; Si ned <br /> � AddfeSS � - - „ 9 Cusmmer <br /> � Phone__ - ' <br /> DESCRIPTION: Sewer District -- <br /> Lot � <br /> fvlonthly Sewer Service _ <br /> Block <br /> pivision or Addition_ _.___ Monthly Sewer Constr. <br /> � <br /> - Trunk _ <br /> Type Permit: <br /> � „ „ t i Lateral <br /> Remarks: � <br /> Abutting Lot Line <br /> �, S E, W ft. <br /> �'nylT�a-�� Ju�qe,sT /7�T/-.0. ,� <br /> . <br /> /I S OGL � ' . ��� :� <br /> Approved By_ � � <br /> S a Ciry En9ineer <br /> /Sl�i���'�a i� C`c.c5 Issued By <br /> E � o- �a.r <br /> ��� <br /> Inspection By <br /> Datelnspected,�f�i� G�� ��-� <br /> 0 <br /> SEE SKETCH ATTACHED NO. � (i �� `'�� ;% <br />