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[ <br /> �. everett �, � <br /> r.^� � <br /> _ i. . :,^'+e <br /> t^:= <br /> r- "^.� <br /> r-' � <br /> City of Everett �,.; <br /> � <br /> Engineering & Community Services <br />� �e�er �app�icafii�n and Wermit := <br /> f+ <br /> rvo. 2 2 2 �7 DAT'E � �� 7�" —_ <br /> ; -� � <br /> Service Addre,s }`''� =1-- l=-1f`� '`•- Utility Account No. ,�' � <br /> Billing Address �/ ��d l l��•-�n'��% •' --� Permit Fee � L <br /> f ;�" -? <br /> City, State, Zip r%=.• -' `!�'� • �� Connection Chargels) <br /> " � � <br /> /' ' '� � � .� � � � <br /> Owner (Mortgagor)^_- -y� �'��•- Total Fee __�_� <br /> Billina Naine -{—^" <br /> / ` ' I <br /> Connection By � • �!' � ' ` ' <br /> i _,, ' � �r:' . <br /> Address L� .' - � � '� ��� Signed � - ��`"�l _ <br /> Custamer i <br /> t Phone iJ% - ''� %77 <br /> DESCR I PTIO�' Sewer District_ <br /> , <br /> Lot� �_ Block ,' ��' � <br /> � ��, . Monthly Sewer Service , <br /> � Plat . -� .�a '��. -�� <br /> � Unplatted Description_ Monthly Sewer Constr. <br /> � � Trunk <br /> TYPe Permit: f _ '7 - /'.;,-' <br /> ;'�J" Lateral <br /> � Remarks: <br /> � Abutting Lot Line <br /> � N, S, E, W ft. <br /> � Approved By .� �/ <br /> �- � � Ciry Enginrer , <br /> � — F -+a <br /> ` �: ' /� <br /> ` Issued By -^ � --<'.�--�_-� _ <br /> � y <br /> � <br /> k <br /> � <br /> ; ;nspection By _ <br /> I <br /> �� Date Inspected <br /> e SEE SI(ETCH ATTACHED N0. �2 2 3 7 <br /> � INSPECTION <br /> i • .. <br />