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evereh � ��{'� <br /> � .I � ' ` ' /� ' <br /> \�/ 1�, - 1^ � l <br /> lJ <br /> City of Everett ' <br /> Enpineering Department ' <br /> Sewer Application and Permit � , <br /> Jai .l � � ! <br /> No. 20649 -, - I <br /> DATE �= '{ 1 J <br /> Service Address `- ` Utility Account No. " <br /> . � <br /> Billing Address - Connection Permit Fee - <br /> City, State, Zip - �- � - Connection Fee " <br /> Owner (Mortgagor) � � ` - _ Total Fee ' � <br /> Billing Name � _ <br /> Connection By " �' _ <br /> Address _ Signed <br /> cu:tomer <br /> Phone ` <br /> DESCRIPTION: Sewer District <br /> Lot_�7 Monthly Sewer Service ` <br /> Block=� ' ' <br /> Division or Add:tion ' , ' - Monthly Sewer Constr. � <br /> � <br /> Trunk <br /> Type Permit: <br /> — � ' " Lateral <br /> Remarks: Abutting Lot Line <br /> ,�' ��, / c= % N, S, E, W -- ft. <br /> _.__ " - '" _ i, <br /> , •' .;. <br /> " Approved By <br /> , CitV Engineer <br /> Issued By <br /> Inspection By - — <br /> Date Inspected <br /> � SEE SKETCH ATTACHED N�• �O b � U <br /> Ii�I ;FCC�("ION <br />