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�tt �� / i� — %' '�j — _ <br /> � <br /> � _: ' . - . <br /> City of Everett <br /> Engineering Department <br /> Sewer �4pplication and Permit <br /> 33951 <br /> NO. L O H 9 I, DATE " ' — <br /> ,l,,/ t'W / <br /> Servir.e Addres��� �n�,�, �r�i�b -�--- Utility Account No. <br /> Biiling Address �A� E Connection Permit Fee �,�� d <br /> City,State, Zip ` ��L/ wr� Connection Fee <br /> Owner (Mortgagor����EL/� �G/iJVGS � �us/.V1'otal Fee ��� n <br /> Billing Name S/��� <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Monthly Sewer Service <br /> Block n� O� //� <br /> ./ l <br /> Division or Addition �,( �l��� Monthly Sewer Constr. <br /> Trunk __ <br /> Type Permit:s�� <br /> Laterai <br /> Remarks: ��l(/ �/ �C�jf' �- � <br /> Abutting Lot Line <br /> CJ �(�0 7F' '�If�' c:��Pf'� N, S, E, W ft. <br /> `S'o<< F /�1./-/ l� ,l� <br /> Approved By � <br /> City Engineer <br /> — ) � <br /> j� ;�. „ Issued By <br /> �/ ' <br /> -> "f _ ) j._� . <br /> — , �� �-� Inspection By� �-`�� <br /> / ' � � ��, �y.��' , ' Date I nspected y � / S — � S <br /> o ' � <br /> /�� SEE SKETCH ATTACHED N0. ? (� g � .�. <br /> I�.'SF'r��, . <br /> -� . <br />