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evcred. (/ � � <br /> ,�.�� <br /> .� C <br /> City of Everett <br /> Enpineering Oepartment <br /> Sewer Application and Permit <br /> . �'_ i'- - . 34014 <br /> N0. �09�g DATE � <br /> �. <br /> Service Address f` � � ` ' Utility Account No. <br /> Billing Address — Connection Permit Fee <br /> � . <br /> City,State, ZiP Connection Fee " — <br /> Owner (Mortgagor) � � Total Fee ' <br /> Billing Name <br /> Connection By ' � <br /> Address Signed ` f ' ' � <br /> Cufromer <br /> � � , ' <br /> Phone <br /> DESCRIPTION: Seever District <br /> Lot -� Monthly Sewer Service <br /> Block „ <br /> Division or Addition Monthly 5ewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: ' Abutting Lot Line <br /> NI SI EI W ft. <br /> Approved By__ <br /> ' c�cv nu��eer <br /> — Issued By <br /> �: <br /> Inspection By_ <br /> Datelnspected <br /> a <br /> SEE SKETCH ATTACHED N�� �' �� �.3 � � <br /> Ir;_;i�i�cl��nP! <br />