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everen � <br /> � %�'S /�� %iv 7f/E <br /> covNTy 8�r 7��y <br /> City of Everett <br /> /✓rCC BE l'o,uniEcnNG T� <br />'� cr�z o�o,Na�E sysTE�� . <br /> Sewer Application and Perrnit TNE/ �,���L �,��� y.o� ��h,E�, . o <br /> I DATE 'Y// �'-�— TNFy Al2�� �E6 DY W rfN 7NE m <br /> No. 25061 � �'pNtiECT/C/J Tr, dUc' C�a JNJ •• <br /> I� / �S ,��kK .,.. <br />� Service Address�� 9��J �� A� � _ � Utility Account ..._._ _ ��,��,����� "'� " <br /> � M� <br /> rn-s <br />' Bil!ing Address Permit Fee_ �� �� c o <br /> �E-'�✓l,A[ S Connection Charge(s) m n <br /> City; State, Zip — o� <br /> /,� 0� <br /> Owner (Mortgagor��• �- Total Fee� I m,_.� <br /> .. <br /> Billing Name c= <br /> a -+ <br /> i � � <br /> Conne�tion By_ /� , -' / � K v� <br /> . .' ! ; -n <br /> Signed / � /• T A <br /> A�C�fB55 . Customer r 3 <br /> = m <br /> Phone��o.2 � '�'�y'� � mN <br /> DESCRIPTION: SewerDistrict -- �� <br /> m <br /> Lot__ Biock y <br /> Monthly Sewer Service N <br /> Plat i ;'�m <br /> Unplacted Description Monthly Sewer Constr. a <br /> z <br /> � <br /> Trunk = <br /> Type Permit: � z <br /> Lateral i -+ <br /> x <br /> Remarks: � N <br /> - Abutting Lot Line zo <br /> -- N� S� E- W— ft. � <br /> � � <br /> m <br /> —'— Approved By � <br /> City Engincer <br /> i <br /> - Issued By ! _ <br /> � I <br /> -- ' <br /> I <br /> � <br /> In,pection By_ ' � il <br /> Date Inspected� � � <br /> SEE SKETCH ATTACHED N�• ZSV6� I <br /> IIJSPECTION i <br />