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evereti <br />� <br />City nf Everett <br />Engineering Department <br />S�wer Application and Permit <br />NO. r , <br />DATE <br />Service Address �+ �� � � 7 �—� ~ W <br />Billing Address_ - — <br />City, Statr., Zip — <br />Owner (Mortgagor)_ <br />Billing Name — <br />Connection By — — <br />i ,� - <br />�=, � ; z_-; s' _i <br />Utility Account No.. <br />Connection Permii F <br />Connection Fae._ <br />Total <br />Signed <br />Cusmmer <br />Phone_ — -- <br />DESCfi:PTION: Sewer District_ — <br />Lot �-- �— Monthly Sewer Service — <br />B;ock '.2 <br />Divisian or Addition_� �.T! ,�:� �ALl k Monthly Sewer Constr. <br />Type Permit: <br />kemarks: <br />8 <br />SEE SKETCH ATTACNED �? <br />� <br />—��— . <br />a <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />I ssu ed <br />� <br />Inspe�tion By.�1l�— "�'�`"� — <br />Date I nspected 3 3� 7 <br />� .i � � ,� <br />NO. .� _':. �.� .j -r <br />