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evere� <br /> � �- _ � . ( > _ :. <br /> �— � `J— Ce�:� �// 7- '' -'__. <br /> _ i �; �'� — � � �y'� / ' � , <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit �3 ,� �� ., � <br /> N0. L O u �i y DATE " <br /> Service Address �� ; _ Utility Account No. �- - - <br /> Billing Address �-'�'-'' "�i� "" Connection Permit Fee �' � <br /> City, State, Zip .� ✓��' � �'' /� '--�' !/Connection Fee � - �- <br /> Owner (Mortgagor) �' ;"� �- ' Total Fec_ <br /> Billiny Name � %�� <br /> Connection By " ''��� �� , <br /> �.( <br /> Address �� i ' .i ! � Signed-- <br /> cu;cnnro. <br /> Phone ` - _ � / ;-' <br /> DESCRIP'"ION: Sewer District <br /> Lot 'J '_ ,i;i L o�' .+' -- <br /> Block Monthly Sewer Service <br /> Division or Addition � .v;'/,1/iV'r"� r Monthly Sewer Constr. <br /> Type Pe!mit: Trunk __ ___ <br /> , ,.7 i fl <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line _ _ <br /> N, S, E, W ft. <br /> — I <br /> _ ��.�_ ApProved By — <br /> _ %" , Ciry Engmeer <br /> Issued By ' � <br /> Inspection By—C�..�sw� � o-V� <br /> _—_ _ _ Date Inspected I � _ � Z=� � <br /> 3 - <br /> SEE SKETCH ATTACHED N0. <br /> � <br /> . ! � <br />