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• et���`ett <br /> � , � - �9 - �s� . <br /> /_�' — .�� - 7`� - � <br /> � ' <br /> City of Everett <br /> Enqineering Department EF` <br /> Sewer Application and Permit <br /> N0. C �_ _�. ^ -4 DATE <br /> Service Nddress - Utility Account No. _ <br /> B;Iling Address. _ Connection Permit Fee <br /> City,State, Zip Connection Fee _ <br /> Owner (Mortgagor) Total Fee _ <br /> Billing Name <br /> Con�ection By <br /> Address. Signed <br /> Customer <br /> Phone_ <br /> DESCRIPl'ION: Sewer Distri�t <br /> �oc +-- �+tr zs �z9 <br /> Block _ Monthly Sewer Service <br /> Division or Addition —Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: . <br /> — Lateral <br /> Re ar . � � � <br /> �___ Abutting Lot Line <br /> N, S, E, W ft. <br /> � , � ' � <br /> , . . , Approved By <br /> ' City Eneineer <br /> -_r—!-a+Kirs-�"�wrM 9kw:ar�...-...; <br /> Issued By <br /> Inspection By -- <br /> Daiel�spected_ <br /> 0 <br /> SEE SKETCH ATTACHED NO. `Z � 171� <br />