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. �" J . �_ ._' <br /> everett <br /> � A.._ 7 �2��. : <br /> /�, .�_ �.t� — ?r- <br /> City of EverPtt <br /> Engineering Department I � � ,��� <br /> Se�res� Appl�e�ition or�d Pe�mit <br /> NO. _ DATE _ <br /> Service Address_ Utility Account No._ <br /> Billing Address_ Cornection Permit Fee <br /> City, State, Zip Cor�ection Fee. <br /> Owner (Mortgagor) _ � Total Fee__ <br /> Billing Nams <br /> _ Connection By - <br /> Address _ Signed _ <br /> Customer <br /> Phone — - <br /> DESCRIPTION: Sewer District — <br /> Lot <br /> Morrthly Sewer Service_ — <br /> Block <br /> Jivi�ion or Addition__ Monthly Sewer Constr. <br /> _— Trunk _ <br /> "fype Permit <br /> — --� Late!al _ <br /> Remarks: ,f "Qvc' AS OG�c' -�/,'c' T��s` <br /> _ Abutting Lot Line <br /> N, S, E, W ft. <br /> — ApproveJ By _ -- <br /> ciry Enpineer <br /> Issued By <br /> . � <br /> �f�i ��J�✓ <br /> Inspection By_�GlL—�r--- <br /> Date I nspected 3/� �d <br /> � <br /> ---- ' <br /> SEE SKETCH ATTACHED N�• �� �- '� �'�� � <br />