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.everetl � J _ . , <br /> � � ' , � <br /> City of Everett <br /> Enpineerinp �epartment <br /> Sewer Appli�cation ctnd Permit <br /> 3 :3�1 : 5 <br /> NO. �Q g g � DATE <br /> Service Address Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, State, 2ip Connection Fee • <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> ConnecUon By <br /> Address <br /> Signed <br /> Ph011@ Cus�omer <br /> DESCRIPTION: <br /> Sewer District__ <br /> Lot —— --- <br /> Block Monthly Sewer Service___________ <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Linc <br /> __' N' S' E' W---- --- —ft. <br /> . � --.—. <br /> J <br /> i <br /> Approved By_. <br /> Ciry Enpinear -- <br /> Issued By <br /> --- ___ ___ Inspection By �^ /J h� �/�� <br /> _ _-- <br /> � <br /> o ---- Date Inspected � L � 5 <br /> SEE SKETCH ATTACHED N0. <br />