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ev�relt , <br /> : - Z �, '� /�,,�'�.� ��j�j� <br /> e � 19 ;� i <br /> F ,��- � <br /> ,, � <br /> t City of Everett <br /> � '��',`: , Enpneerinp Dep�rtment <br /> Sewer Application and Permit �,�� 1� <br /> N0. 2OgO7 DATE '� - 'r.` / !�' <br /> Service Address �- =�2 -` �- �'-i T�"' Utility Account No. -� <br /> Billing Address n �+ •-- -- Connection Permit Fee ��''� � ��- <br /> City,State, Zip = '�= ' c �- T-" Connection Fee "-- <br /> Owner (Mortgagor) �� ��=�'_-u �'1�-'�' ! t�'`- � x'� �� Total Fee � �"� / 'F- <br /> Billing Name � � � � <br /> Connectio� By r N-' R �1)r- rr i 1}�r:,T rn�^7> <br /> Address �i5` '�/.1� �,'17 "�r ._T" � �Nrr7 � Signed - ,�z �. .,.-'c` `: � „f' <br /> cu:tomer <br /> � F;-; �.)Fr` VF_�'�� . <br /> Phone �; C� ._� - S� `) � O ' <br /> DESCRIPTION: Sewer District --- <br /> Lot '� Monthly Sewer Service -' <br /> Block -� y <br /> Division or Addition - ��=�i F T` Monthly Sewer Constr. <br /> Trunk --- <br /> Type Permit: i:,• � 1 r- , � ; :� � i <br /> Lateral "--" <br /> Remarks: �F �,/ __ .,� = i ' qbutting Lot Line <br /> --, ' N� S� E, W --- ft. <br /> --,� , � � <br /> , i <br /> � Approved By 1-- ' �`�i�= �,./�:/.�!; ' <br /> Ciry Engineer <br /> ' _ _ ' _ . " _ _ ' / <br /> Issued By ' '�d` � <br /> Inspection By'�- ' ' ,` . . �' '" �. <br /> Date I nspected ��� �y <br /> � SEE SKETCH ATTACHED N�• �O H O 7 <br /> INSPECTION <br /> . • • <br />