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� �� <br /> City of Everett <br /> Sevver Ap�plicatuon �nd Per�no# <br /> N0. Z337O DATE i� ` i � <br /> Service Address_',� � "' � � /� /I . � Utility .4cer.�mt No. <br /> Billing Address ' . / - � ' ' " Permit Fee__ 'l, I' ' • � `- <br /> City, State, 2ip � � : � , :- /� �. i ` J% ' _. Connection Chargels) � <br /> Owner ;Mortgagor�� i`•l +' / �i� � ' ;I �' • ,: 7 [ Total Fee J'(� ' � �- <br /> Billing Name%� 1 ! � �. ;� / /;- . ; :; / ,c. <br /> ConnectionBY/ �l!'(' �'•i' ) � � /�_i . i /'C. <br /> Address /� !,`� /c L'�. ii,• �; ,c�• / �.;�._ Signed <br /> Customcr —� <br /> Phone —`�� — �. �. ( ' <br /> DESCRIPTION: SevoerDistrict !•� :i/ __ � <br /> Lot i _ — 1`�� Block �� i '� --- <br /> Plat - �'��Z---:'.. . �-- r j' l Monthly Sewer Service ` '� �::. : . r <- . � <br /> Unpla[ted Description Ulon[hly Sew.r Constr. <br /> Type Permit: -- Trunk ____ _ _ <br /> /.. /t_i ! . �� .. , ;,,:i < �� . , <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, 5, E, W---- — -- `t. <br /> Approved By i I� ! �- , � !:-'' `-- : <br /> City Engincer <br /> �SSUCd QV��":—'—__ '.__.____ <br /> 7nspection ESy__ _ <br /> — -- __ Datc Inspected <br /> SEE SKETCH ATTACHED NO. 23�T�J <br /> ��;�,�,[rTlOtl _�- -�� — - .. <br /> _ _ _— -- ���`°''--°+^�__. _ _ '�-�_ <br /> �. . . . �.� .S�y�G <br />