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kverRti <br />:� <br />City of Everett <br />Engineering Department <br />/= "' i -.- _" _ S <br />;j - '� <br />L� - � �j - -� ; : � ',f/ <br />Se�nrer Ap►plication and Permit ., <br />i- <br />NQ 2OH�E) DAiE i —, .: ��- <br />, <br />'1:�' ' � -,� i %/�� / -' Utilit Account No. ---- ---- --- -- -- <br />Service Address Y <br />, ; -; <br />Billing Address -'�` �'��` Connection Permit Fee '`-' � ��� � <br />City, State, Zip '_'f � f ` ' � � � Connection Fee � <br />� � ln'�5,� � : - <br />Owner (Mortgagor) ���% l /:i;�/ �� �+/?i � it/ To:al Fee — <br />Billin�� Name.__ J f%y/�� <br />Connection By_ `' �1 /.� �/'ii����'�� <br />Address_ � - i�% .''l� f'l . ='���' .' Signed <br />� � Customer <br />� � �i � <br />I hone , <br />DESCRIPTION: Sewer District ` <br />Lot __: .' „ ' � — <br />Blc:k Monthly Sewer Service <br />� <br />Division or Addition.� �"' 1� .-. ! i� Monthly Sewer Constr. <br />T...... D.....�i1• ! . /�'. <br />SEE SKETCH ATTACHED <br />IF,�P�C i Ii�N <br />Tru <br />Abutting Lot Line <br />N S E W - - - ._. - <br />� / �. i�.;i/t,- <br />A roved B � _ �'',i ' . , � - . <br />FP Y—. <br />Ciry Enpinecr <br />Issued Bv <br />Inspection By <br />Datelnspected 2 Z � <br />rvo. 7ng76 <br />