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everett _ . � �- <br /> e � . _ . <br /> M _ -��� r �_ � 5 <br /> �_ �a ,�; <br /> �� � �� .� �� � �� �� <br /> City of Everett ��.C�� <br /> Enpineering Department <br /> Sewer Application and Permit�� <br /> N0. 2IO �� DATE _. �, 1-_ <br /> Service Address ' ' �- ` <br /> Utility Account No. <br /> Billing Address— :^ � �/� Connection Permit Fee ! ' <br /> CitY, State, Zip / ; �c ;. ' r <br /> Connection Fee <br /> Owner (Mortgagor) ��1r -- •`��� ���'�TotalFee - � <br /> Billing Name— 1 :./v <br /> Connection By " �ti;,: <br /> Address Signed . <br /> Phane Z 5 Z— - i L 3 `/ Cusromer <br /> DESCRIPTION: Sewer District_ � ' i . ,^- <br /> Lot •l <br /> Block -�r;. Monthly Sewer Service � <br /> Division or Addition F -' ., � -r -� ; i (. ' � . 7 7,- <br /> • Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> ,. � ` ' Lateral <br /> Remarks: . <br /> Abutting Lot Line <br /> C°t% 'l � — Ho �.vs E.�i�,v N, S, E, W <br /> ft. <br /> i� <br /> U/ 1f�/9S <br /> ' ' Approved By_. � , ` . / : , <br /> ,CiryEngmeer � �� <br /> � <br /> Issued By ` ' <br /> Inspe�tion By <br /> e Date Inspected <br /> SEE SKETCH ATTACHED N0. 2 '1 �1 !; j <br /> _„r,.,,. , <br />