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/� - ,- C�_,� <br /> everett • f <br /> � �,� �7 rr 7 � <br /> � _. ,z 4. -- % � <br /> City of Everett / <br /> Engineerinp Department �o..� <� <br /> Sewer Application and Permit <br /> � �; ; - <br /> NO. �- I. : � � DAT � — <br /> - i3 f��� %� <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 /> cu,tomer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot_ Monthly Sewer Service <br /> Block _ <br /> Division or Additio� Monthly Sewer Constr. <br /> - Trunk <br /> Type Permft: <br /> Lateral <br /> Remarkr. <br /> Abutting Lot Line <br /> N, S, E, N' ft. <br /> . / - " � � � ' _ �•r.i <br /> Approved By <br /> Ciry Enpinex <br /> Issued By <br /> Inspection By_ - <br /> Datelnspected - <br /> � SEE SKETCH ATTACHED N�• [ I 2 G 5 <br /> I�I'��i�i �'.Iln^! <br /> •�- <br />