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evereK <br /> _� / ' <br /> , - <br /> City of Everett `-- <br /> Engineeriny Oepartment ,� <br /> r <br /> Sewer Application cnd Permit� <br /> NO. 21 U 7 4' GATE <br /> 23ZG, <br /> Service Address �" - Utility Account No. -` i f� l , <br /> Billing Address Connection Permit F.,: � ' ' <br /> c,i*y, State, 2ip � _ _ ._ _ <br /> --- Connection Fee <br /> Owner (Mortgagor) ' ' Total Fee <br /> Billing Name <br /> Connection By <br /> Address __ Signed ' <br /> :, <br /> Phone customer - <br /> DESCRIPTION: <br /> Sewer District <br /> Lot — - <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: �� ��n � <br /> � Abutting Lot Line <br /> S S ETl N, 5, E, W <br /> ft. <br /> Approved By_, <br /> C�ry Engmeer <br /> Issued By <br /> Inspection By �C <br /> p Datelnspected��- ,�� <br /> �7 <br /> SEE SKETCH ATTACHED NO. � � I� ? /� <br /> L"�ISPi=CI i0;��1 � . <br />