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, — - - <br /> everptt �`� ` _ �� -� _ > � _ -, <br /> -e . � _ . , <br /> �� ,� � � - <br /> i ' � -�� �= <br /> City of Everett <br /> Engineering Department <br /> Sewer Applieation and Permit <br /> JJ 'S .I. :J . <br /> No. 20584 DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By _ ,• <br /> � � � . <br /> Address Signed <br /> � - Customer � - <br /> Phone ' <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Moi�thly 3ewer Service <br /> Division or Addition Monthiy Sewer C�nstr. <br /> Tyoe Permit: Trunk <br /> Lateral <br /> Rc�marks: <br /> —/� , Abutting Lot Line <br /> S.� 4�_�_��_�I�� n� N, S, E, W ft. <br /> � <br /> - � a <br /> �� <br /> Approved By <br /> _ City Enginecr <br /> Issued By <br /> InsF;:tion By���'���� <br /> � Date Inspected�// ��? Y <br /> SEE SKETCH ATTACHED Np, �� �l i �± 11 <br /> �,�('ll�-,;.: <br />