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� everen G _-� <' —. � :�j _ :) .. <br /> ; ' <br /> , , <br /> � " _. � .. ; • .,'` <br /> � J . - (.. � <br /> , ✓ <br /> ICity of Everett <br /> � Eayineerinp Departmant <br /> Sewer Application and Permit <br /> 33�1:� 1 <br /> �� N0. 2089� DATE " " <br /> , `,' / t, CW1 � <br /> ' Service Address�,�Q.��Q��, /�S�Q ='�'—"' Utility Account No. <br /> , Billing Address �A� E Connectiun Permit Fee ��.� a <br /> City,State, 2ip �(� F fT� �//�_ Connection Fee <br /> Owner (Mortgagor)/�/�E�/� �i4G/if✓Gy��iVT'otal Fee��_Q — <br /> Billing Name S/lr�/C <br /> Connection By.��r�,Q.;—.(���� �jL�-- <br /> ,/�� . <br /> Address �/� /y �L���J� S"��J�/���L 5i9ned <br /> �y cu;tomer <br /> Phone_����- LL/�� <br /> DESCRIPTION: Sewer Cistrict___--_---,_— <br /> Lot <br /> B1�MS��f�-�-- Mon.hiy Sec.er Service_ <br /> fl ��' 4�`/��� "�- <br /> Division or P.ddition h9onthly Sewer Constr. <br /> Trunk <br /> Type Permit:S6�/� ___ <br /> —1 Lateral _. <br /> Remarks: N'/l(/�( //V /�.��lf-f 5>-'l';';�Gf�/iil�o� <br /> Abutting Lot Line <br /> C� J`Ao 9 Gs'4`i� / f�"�' /'::xit'vc.k'f'� ; N, S, E, '+� tt. <br /> ��c,�� Ch!;�M �''.!1,�//, ("/�� ^':y'iJi/T I <br /> -- ApProved By L �l�/%l�..l�,�iJ <br /> Ciry Enginecr <br /> /. <br /> _ �� � "" . Issued By <br /> / i <br /> ' f <br /> � J 1 <br /> � _ / �— Inspection By��i� <br /> ,N/." � <br /> ; ` - � ,�- Q�� � "% pate Inspected✓U � � S - � S <br /> o � �� " <br /> /► SEE KETCH ATTACHED �'�• 2 0 8 91 <br /> INSPECTION <br />