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everen . � � 2� � / <br /> � i� ��� � � � vr 2�r I; <br /> � � <br /> (�� `' ���� <br /> City of Everott <br /> Enfnwdn� Dp�rtm�M , �1 <br /> Sewer Application and Permit <br /> No. 210 5 3 DATE <br /> Service Address Utility Account No. - <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> i <br /> Owner (Mortgagor) Total Fee 1 <br /> Billing Name , <br /> Connection By ' <br /> Address Signed <br /> cmtomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�_ <br /> Block� Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �-�ti�,o <br /> Lateral <br /> i - <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W _ft. <br /> ' ,� : �- � - <br /> L� - Td, , <br /> / <br /> / � Appruved By_ <br /> (C, � ciry Enpineer <br /> �T ISSUE'J BV <br /> J <br /> � , <br /> / U � <br /> Inspection By�� ^'�� �f� <br /> Date I nspected c��-� ^�� <br /> 0 <br /> SEE SKETCH ATTACHED NO. � 1 O �' .3 <br /> i : .i�� � i� �ri <br />