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�� i <br /> , <br /> eve�ett _ � ' ' � <br /> �� I � � � � �..�_ -, J/ . 75'iti: <br /> � � J �_� �:� , <br /> City of Everett <br /> Engineering Ilenertment <br /> Sewer Application and Permet <br /> 33 %' )0 <br /> 20731 " ��- �r <br /> N0. DATE <br /> � -� - , , <br /> , _ , _ _ ------ _ -- <br /> Service Address - �-���' Utility Account No. <br /> Billing Address -�%��i J�- Connection Permit Fee ' � <br /> City, State, Zip `'�f�' /".�~ '�� � ' j' ' �� Connection Fee_ _—�_�V' <br /> ,?� ': <br /> Owner (Mortgagor) " , •?- ,�� Total Fee � � i� � <br /> Billing Name " ��•'✓'�� <br /> Connection By <br /> Address Signed_ � -- <br /> Customer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot ' � <br /> Monthly Sewer Service - <br /> Block - <br /> pivision or Additionl�' ' � � �''� ' `' _Monthly Sewer Constr. <br /> -- "�l ;i 1 <br /> Trunk_ <br /> Type Permit: , �-��' " •J� ----- <br /> Lateral -�--- - <br /> Remarks: <br /> _ Aburting lot Li�e <br /> �;-v . _ •�•�ll��' . . , - -- - ft. <br /> � � N S E W <br /> � <br /> o .-✓Ci J n�! t'L v �� � ! <br /> . <br /> �� ���,,,�.j� <br /> �Lv< � �� / � � / ,�i�/'/ �::f. ��',. <br /> Approved dy_ ' <br /> " �� Ciry Engmcer <br /> — /. G. %ira� . <br /> �+ . �/ ISSUCd BY �_ <br /> _ _ � L .i <br /> Inspection By � '�� � �,,^ � ����' ' ' <br /> _ �i <br /> Date I nspected � ���' �' �' '�� <br /> 0 <br /> SEE SKETCH ATTACHED N0. � �, (' �� �) <br /> ,,. . , <br /> l <br />