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i <br /> �;I1AFi1 rvV.— — �� <br /> everett . <br /> e : , <br /> �I <br /> i, City of Everett I <br /> IEngineering & Community Services � <br /> ' Sewer Application and Permit ' <br /> N0. �Z2_T66 DATE /"' '���- ,� I <br /> - , ,r' ` <br /> Service Address "J� ��� '" " ' '�``"`� � Utility Account No. <br /> Billing Address J�� • '� '• -'� v c '�/`� Permit Fee — �1J_ <br /> � <br /> �f <br /> City,State, 2ip � ���� �' ` �%" Connection Chargels) , <br /> i <br /> pwner (Mortgagor) L / ' ' - '� Total Fee '- <br /> i <br /> (�' _� <br /> Billing Name ' <br /> � <br /> Connectian By <br /> � '� i <br /> Signed _,��,Je iT-', !1 . T ...,�J_�. ' <br /> Address c�seom�� <br /> Phone " � , J G � <br /> DESCRIPTION: Sewer District <br /> ,�j�� <br /> Lot - / � Block , Monthly Sewer Service <br /> Plat • _ � <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit � � ' i - <br /> �, Lateral <br /> Remarks: Abutting Lot Line <br /> � S E, W ft. <br /> � <br /> _ - �-��. <br /> Approv�:d By ' %.'=- , -.. _ , <br /> ' City Engineer � ' <br /> - • i <br /> Issued By " " � — � <br /> I <br /> Inspection By <br /> Datelnspected <br /> ' SEE SKETCH ATTACHED No. 2 2 7 6 6 <br /> INSPECTION <br /> � <br />