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evercit � ( — Z `� � <br /> e � � <br /> � ,.� _-, �, <br /> i� �3 7J � �, <br /> �, . s �—, r <br /> <:�.;�,�� <br /> City of Everett <br /> Engineering Uepartment ��ti <br /> Sewer Application and Permit <br /> , <br /> N0. 2�,O� H DATE I � <br /> Service Address �-�� 9 Utility Account No. <br /> Billing Address Connection Permir ree <br /> _ - I <br /> City,State, Zip Connection Fee <br /> Owner �Mortgagor) Total Fee_ <br /> Billing Name <br /> Connection By ' ' �' ' � <br /> Signed <br /> Add�eSS � ' � �� � Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> , <br /> Lot Monthly Sewer Service <br /> Block e <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: E � ,F F S � • Aoutting lot Line <br /> N S E, W ft. . <br /> Approved By_ <br /> Ciry Engincer <br /> Issued By <br /> �� � <br /> Inspection By� ' <br /> Datelnspected �� �� <br /> e SEE SKETCH ATTACHED N�• L �.O 7 H �,� <br /> INSPECTION '�,r �; <br /> _ , � _ <br /> r;_. <br /> __...__._ . �;:; <br /> <, <br /> ; �< <br />