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eve'rett `� _ � _ Z/`�— �"'���!' ��9��� - . <br /> � !��� �' ���2 ���1_�l�������� <br /> � � „}�f� <br /> City of Everett � � /iC �, D / �'� I <br /> Engineering Uepart t �J � S <br /> � <br /> Sewer Application and Permit ' <br /> � � � .;f� <br /> No. 20855 DATE �� ` <br /> Service Address_ , Utility Account No. <br /> Billing Address __ Connection Permit Fee ' <br /> City, State, Zip ' % r : Connection Fee <br /> Owner (Mortgagor) - :� _ . - Total Fee ` ' <br /> Billing Name -_ <br /> Connection By � <br /> Address. Signed <br /> ' Cusmmer <br /> Phone " <br /> DESCRIPTION: Sewer District - � <br /> Lot <br /> Monthly Sewer Service_ <br /> Block <br /> Division or Addition � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �. , � <br /> ' Lateral - --_- <br /> Remarks: L,�� A!/�'�r. GS � aF c�.o i'i�E <br /> Abutting Lot Line <br /> F,rs,•s �s'ousE ro sE..%e-.�� � r,�P.oc .rs i�f N, S, E, W ft. <br /> s" ET�'H, <br /> � :}' � <br /> Approved By_: <br /> �'ity Engineer <br /> Issued By <br /> Inspection By� " � <br /> Date Inspected � <br /> e <br /> SEE SKETCH ATTACHED No. 2 0 8 5 5 <br /> INSP[CTIO� <br />