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everen /�� �-' � �� �J <br /> � ' •- / `l - Z �1 � j— <br /> J <br /> City of Everett <br /> Engineerinp Department <br /> Sewer App�i�ation and Permit <br /> N0. DATE <br /> Service Address�l(�/��7 ��TM (9,2C Utility Account fJo. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee _ <br /> Owner (Mortgagor) Total Fee <br /> Billing Namc <br /> Conneciion By <br /> Address Signed _ <br /> c,�«a�„�, <br /> Phone <br /> DESCRIPTION: Sewer Distrir.t <br /> Lot.� _ <br /> Block (q � I Montnly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: — <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, 1^' ft. <br /> Approved By <br /> City Engineer <br /> Issued By _ <br /> � ��-- <br /> Inspection By ,��'�-'��-=,�r <br /> B Date I nspecied ��?�7 �7 <br /> � �— <br /> ��3EE SKETCH ATTACHE+J NO. `_� � I �� � <br /> --- — l� <br />