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. _ <br /> •�—� � ��� � � i/, ��.: . � �/�%S �S <br /> ever lt � Z ��, �� �� <br /> �r. <br /> City of Everett <br /> Engineering Department <br /> Se��r�er A�aplication and Pf�rmit � - <br /> r 3 3��1 <br /> NO. `�076E DATE <br /> Service Address Utility Account No. <br /> Billing Address — Connection Permit Fee <br /> City, State, 'LiP ' _ Connection Fee � <br /> Owner (Mortgagor) lbtal Fee <br /> dilling Name <br /> Connection 8y <br /> Address Signed c�:rom�� <br /> Phone <br /> DESCRIPTIO`V: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition � Monthiy Sewer Constr. <br /> Trunk <br /> Type Permir. � <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved BY <br /> Ciry Engmeer <br /> — Issued By_ <br /> -- � <br /> —� Inspection By '�'�� <br /> Datelnspected � 'z y ��/ <br /> i <br /> 9 SEE SKETCH ATTACHED N�• 2O7C� G <br />