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i <br /> � <br /> ev� � ; �.���.��� 2�%i��� /� � - _ _. <br /> � <br /> � � i� - <br /> ,,— � <br /> � <br /> City of Everett <br /> Engineering (]epartment <br /> Sewc�r Application and �'errnit <br /> . ,, , <br /> :J ti L. . � <br /> r rpn <br /> N0. L O J u O DATE — <br /> �0.� <br /> 5ervice Address Utility Account No. <br /> Billing Address '" Connection Permit Fee_ <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Cannection By <br /> Address ' Signed __ <br /> Cuimmcr <br /> Phone � � � <br /> DESCRIPTION: Sewer Distrir.t <br /> Lot <br /> Monthly Sewer Servi�e <br /> Block_ <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks. <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Y"' C,,,,, -t � � iI i2 . <br /> �",c�� e � �_ ` <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By � �—L�<���-� <br /> Date I nspected'�/�� ��/ _ _— <br /> 3 <br /> SEE SKETCH ATTACHED Np� �� r � r <br />