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� ct�a��r No.-- -- <br /> everetl ��)�S��� <br /> e �3 - 9 - �� <br /> City of Everett n� <br /> r�� <br /> Sewer Application ar�d Permit ' <br /> NO. ZZ9Z� DATE ' � � <br /> / � �j � ,� : � _ - Utility Account No. <br /> Service Address � <br /> Permit Fee <br /> Biiling Address— <br /> Connection Chargels) <br /> City, State, Zip <br /> Owner (Mortgagor) <br /> Total Fee '� <br /> Billing Name <br /> / <br /> /. <br /> Conr.ection By % <br /> � �, <br /> Address Signed c��:eom�� r <br /> IPhone <br /> Sewer Distric[ <br /> I DESCRIPTION: <br /> i Lot —. Block - Monthly Sewer Service <br /> � Plat <br /> Monthly Sewer Constr. <br /> Unplatted Description <br /> I Trunk <br /> iType Permit: , � Laterel <br /> i , <br /> i <br /> � Remarks: , Abutting Lot Line ft <br /> ! � N, S, E. W <br /> ;��� :< < ��:v.vc c - n � <br /> .iJ i� � �i <br /> /7�c�75u ,�-� ..�' s .5 f7iii � i�� qPProved BY ` %% <br /> �/ �i�y Enginccr <br /> � '�'/i/1/. - � <br /> ISSUC(I BY � —T I� <br /> � <br /> I I <br /> � <br /> li Inspection By <br /> I � <br /> Date Inspected �'/� �-- ----- <br /> �I, — — -- ------ — No. �2928 � <br /> j SEE SKETCH ATTACHED <br /> I �. :r�, .- I. . <br /> i <br /> i <br /> i <br />� <br /> I <br />