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everr_tl ' ' Z � <br /> _e , , , - - � , . <br /> �> , �, �� ��' ��;i�:�� <br /> City of Everett � <br /> Engineering Uepartment �, <br /> Sewer Application and Permit <br /> NO. 2 1 Q 6 Q DATE _ <br /> Service Address _ Utility Accau�t 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 /> Address Signed <br /> Cusromer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot_ <br /> Block Monthly Sewer Service <br /> Division or Addition Nionthly Sewer Constr. <br /> Type Permit: <br /> — Trunk <br /> Lateral <br /> Remarks: ���o,Y= ' c_ � F,f' r� <br /> `,y�vFn Abutting Lot Line <br /> N, S, E, W it. <br /> Approved By_. <br /> Gty Engmecr <br /> Issued By _ <br /> /' r ��� <br /> � <br /> �. ! 1! � �i �on By w_� ��J�i-.��sr�'� <br /> ' . : / �_ <br /> � pat�_ pected �" �6 � <br /> o ,�—��_:�' _,� , — <br /> SEE SKETCH ATTACHED NO. 1 �' <br /> _ Gll'Y r. .! � i _ <br /> r�, <br />