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everett � `� "' -- <br /> e ,� - . - . , _ <br /> Ciry of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> N0. DATE — <br /> Service Address Utility Account No._ _ ___ <br /> 9illin� 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 /> —c��s�o�.,�, <br /> Phone <br /> DESCRIPTION: Sewer District__..___.__— —. <br /> Lot <br /> Monthly Sewer Service_______ <br /> Block. _ <br /> Division or Addition — Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> — � <br /> — Approved By ___ <br /> c��v eno��aa <br /> Issued By — <br /> C. Orossard <br /> Inspection By--- —_____--- <br /> '� > � <br /> _ _ _ _ — ------ -- <br /> Date I nsF�cted___���_ S i ' --__ <br /> c <br /> SEE SKETCH ATTACHED N0. � <br />