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i <br /> ev ��eq <br /> � <br /> City oi Everett <br /> Engineeriig Department <br /> Sewrer �4pplication and Pern�it <br /> :33 �� '7 •� <br /> N0. L (��� (J !; DATE _ _ <br /> Service Address Utility Account No._ _._ _ <br /> Billing Address _ Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagorl^ / Total Fee _.. <br /> Billing Name <br /> Connection By _ _ <br /> Address Signed <br /> Cuslomer <br /> Phone _ <br /> DESCRI''TION: Sewer District_ <br /> Lot_ <br /> Block_ Monthly Sewer Service _ <br /> Div�;�on or Addition Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: - <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> i r-.- , N' S' E' W--- ---ft. <br /> Approved Eiy_, <br /> ' Gty Enpmeer <br /> ISSUI:C) BV_ <br /> ti <br /> � <br /> - - Inspection BY----------------- <br /> ----__ _._ _----- Datelnspected <br /> 0 __— <br /> SEE SKETCH ATTACHED NO. 1 ' <br />