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­ 7S <br /> City of Everett <br /> Engineering Deparunent <br /> Sewer Application and Permit <br /> I_ 3393) <br /> N0. 2088c DATE <br /> Service Address — Utility Account No.= <br /> Billing Address _ Connection Permit Fee <br /> City,State, Zip —_ -._ Connection Fee <br /> Owner (Mortgagor► Total Fee <br /> Billing Name <br /> Connection By ' <br /> Address �y - li iii/ if'. Signed <br /> Customer � <br /> Phone <br /> DESCRIPTION: Sewer District ' ' ,t <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition L/V/ T '• J Monthly Sewer Constr. <br /> Trunk -- <br /> Type Permit: !, ;-/ <br /> Lateral / <br /> Remarks: Abutting Lot Line <br /> ,'0* S %x?z—_ ��� si' r a5?& el N, S, E, W ft. <br /> S� Approved By_ <br /> C�Iv Enq,.m <br /> Issued By <br /> Inspection By <br /> Date Inspected _eSe V'f rz:r <br /> s SEE SKETCH ATTACHED NO• 20882 <br />