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everen ` <br /> � i�- •,7`c� <br /> _F /'� - 7 " - � <br /> City of Everett �' �� - 7� <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> � ,- <br /> NO. ��_ 1 s U � DATE <br /> Service Address—.����c.�,.i Utility Account No. <br /> _ _0 <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 /> Cunomer <br /> Phone <br /> DESCRIPTION: Sewer Uistrict <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition��—7�_� Monthly Sewer Constr. ' <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> � N, S, E, W ft. � <br /> , � <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection 6y�,/—{-� - , <br /> a <br /> Date Inspected_ ��7/7 7 <br /> SEE SKETCH ATTACHED NO. `� _i � (1 '_�� <br /> INSPEC�i <br />