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. :� <br /> e��e'ett � � , _ � _ ._ �� � <br /> � ' <br /> ,� IL"„t< <br /> City of Everett <br /> , <br /> Engineering Department �- ' <br /> S�wer Application and permit <br /> 3393'� <br /> NO. 2OHII� DATE ! -� : . - ' <br /> . <br /> - , � - � � . . -�--' - ;�! ;� _ �) �i <br /> Service Address '' � /�" ` ` � �� '` '"4 ` — Utility Account No. <br /> Billing Address %"��" Connection Permit Fee -"l' �' <br /> rr:�r j j Connection Fee / '� ���� � � <br /> City, State, Zip — <br /> Owner (Mortgagor) ' ` '����r�'�'' �'1• �� ' `Total Fee <br /> Billing Name "���� <br /> ' 9 / S <br /> ,', - C �%`�/ %�c.4���*�� <br /> Connection By "-Y— <br /> _ , -. _ <br /> Address ; , .�,�;, , r Signed - i� ,� ' i' , ;� <br /> . � � ��—=�� ����{�/�� Customer <br /> Phone_ �:.' ' "_ <br /> T;� ` ;i ", - <br /> DESCRIPTION: Sewer District` `' � <br /> Lot '�% > - Monthly Sewer Service <br /> Block -- <br /> Division or Addition '�=� t�%�� ��� � � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �.� �;,, ,�i;r,: :-°i�;r„i � _ <br /> Laterel <br /> Remarks Abutting Lot Line _ <br /> N, S, E, W ft. <br /> � . <br /> Appro�ed By '_ <br /> Ciry Engineer . <br /> i' <br /> — Issued By ' <br /> Inspection By��"J <br /> Datelnspected�� - Zy /9�S <br /> 3 <br /> SFE SKETCH ATTACHED NO. j � �; p !_ <br /> INSPECTICi! <br /> _ <br />