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everett _ - __ -- - <br /> ,� -' `� `� <br /> � , __ -„- . �i .�- i <br /> l/- <br /> City of Everett <br /> Engineering Depa.tment <br /> Sew�r ,Application and P�rsnit <br /> 3 � �43 <br /> NO. 7��8 � DATE � _ _ <br /> Service Addrecs ����:(Jo�a�Q Utility Account No._ ` <br /> Billing Address S A M 0 Connection Permit Fee.DUd /—P � <br /> City,State, Zip—�(�P��tJ �l/.v. Connection Fee <br /> Owner (Mortgagor) 'S ' � ! Total Fee /�Z7 ;e2� <br /> Billing Name <br /> Connection By�rPt' �e%J� _ <br /> Address Signed <br /> Custonrer <br /> Fhone <br /> DESCRIPTION: Sewer District_ <br /> Lot f� / 7 �/� _ -- <br /> Block � �'�7 �i �� MonthlySewerSarvice <br /> Division or Addition� J��N�iI.J � <br /> Monthly Sewer Constr. <br /> Type Permit: � ' Trunk_ — <br /> Lateral '� <br /> Remarks: <br /> Abutting Lot Line <br /> � N, S, E, W ft. <br /> � � f � . � i . Y ' ... ._ <br /> � � <br /> _ • . y. �'� �./1.. . . _ - . <br /> r . '-, <br /> , r � n .� �� . Approved By_. <br /> i� -� ' CityEnBinett <br /> ( /' . . . � cr i�� .� - — � <br /> . : <br /> — . ." Issued By <br /> _ /'G� /�= / 7 � CU � <br /> �, �, �, «,r,,,��.- 9���s , ,,.�.�,� i�,�� �,�j <br /> , n <br /> G�Y S./�ivlf `> �� SE=ti,.i1 Inspection By� -��y �f1 <br /> v <br /> — Datelnspected �.''Y'7S <br /> 8 — <br /> SEE SKETCH ATTACHED NO. � � Q �% '� <br /> � u � <br />