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eve�ce ` - � <br /> , <br /> , <br /> � . � ' -� , _•�t'� ,;�, __. �.. . � . '� �i- <br /> � � <br /> City of Everett <br /> Engineerinp Department <br /> Sewer Application and Permit <br /> :�:� �zn <br /> N0. 2 (f / (� �) 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 Signed <br /> Cmtomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> �ot <br /> Block_ Monthly Sewer Service <br /> Division or Additiun Monthly Sewer Constr. <br /> Type Permit: Trunk ___ <br /> Lateral <br /> Remarks: <br /> — — Abutting Lot Line <br /> _ N, S, E, W________ ft. <br /> Approved 6y _ <br /> _.. ._ G�V Enqinerr <br /> �SSUE'd �y <br /> _ __ ��� � � <br /> Inspection By_�L—_ _ ---. - _ _—--- <br /> _—_____ Date Inspected_ ��'' % � <br /> a --- <br /> SEE SKETCH AT'iACHED NO. <br />