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everett / �(".1- v, �l � �.! :�.,,� ; <br /> ,e � � � <br /> �- . ` r� n ����%f, ; <br /> �' � /- � <br /> City of Everett � i �/?w/7 � � J�(��`,) <br /> Engineering Department � J r'� <br /> � <br /> Sewer A�pplicati�n and Permit <br /> NO• G' I C� 1- �' DATE � _ <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, 2ip - Connection Fee <br /> Owner (Mortgagor; _ Tota! Fee _ <br /> 8illing Name _ _ <br /> Connectian By <br /> Address Signed _ <br /> Cu:tomer <br /> Phone � S � ` �� ':�� �Z -- <br /> DESCRIPTION: Sewer District _ <br /> Lot_ <br /> Block Monthly Sewer Service _ — <br /> Division or Addition _ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: p��,�E-,C S,ors /Ts GE�-✓ �ar ' -,- v <br /> , Abutting Lot Line <br /> _f'vT ,�_���s�,��r.�.�✓ N, S, E, W ft. <br /> , �" i <br /> / I� 93 _ <br /> Approved By__, <br /> Ciry Engincer <br /> �� q�[�,1 !1/ 7YP " t(J�� / P� <br /> (' �� �/ /•/ ISSUCd By <br /> C!-�i.�^�'',�_-��a' � f-fl�_r/�.Y <br /> — � � �--(�'�I--��— <br /> — �n4�- <br /> Inspeclion By — <br /> Date Inspected <br /> a <br /> SEESKETCH ATTACHED N0. <br />