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everen <br /> e ,�� � ��� - <br /> �-�- ��-� <br /> C�ry of Everett <br /> Enpnseriny Oep�rtment <br /> Sewer Application and Permit <br /> N0. � 2 5 U g DATE <br /> �_ <br /> Service Address <br /> Utility Account No. <br /> Billing Address <br /> , Connection Permit Fee <br /> City, State, Zjp _ <br /> � Connectfon Fee <br /> Owner (Mortgagor) <br /> Total Fee <br /> Billing Name <br /> Connection By <br /> Address <br /> ' —�� Signed__ <br /> Phone�` c,„,,,o,. <br /> ---��_ <br /> DESCRIPTION: <br /> Lot��_ N _ Sewer District -- <br /> Block—_.____— _ � _Z�_S --..�_�� <br /> Monthly Sewer Service <br /> Divfsfon or Additlon <br /> Monthly Sewer Con:tr, <br /> TYPe Permit: <br /> Trunk <br /> Remarks: Lateral <br /> �_ <br /> Abutting Lot Line <br /> Ca.. N, S, E, W <br /> t. <br /> �-- Approved By <br /> City Enylna�r <br /> lasued By <br /> Inspection By�/Ty!%n . <br /> � Datelnspected �a/z31�� <br /> SEE SKETCH ATTACHED �—�-- <br /> No. 21509 <br /> � ��,,-��.ti�,n <br />