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; � __ ��_� <br /> everett �� r� C� � < `=— <br /> e � �-��-�� �� <br /> ,. <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicati�n and Permit <br /> NO. �' � ; `_' DATE <br /> Service Address �2��¢_��� /�/ v Utility Account No. <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 /> Cuttomer <br /> Phone. _ <br /> DESCRIPTION: Sewer District <br /> �ot 3 n <br /> Block `](.�� MonthlySewerService <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: <br /> Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> Approved By <br /> Ciry Enpinee� <br /> Issued By <br /> Inspactio� By <br /> 0 <br /> Date Inspected <br /> SEE SKETCH ATTACHED rvo. 216 4 8 <br /> 'I"��i'F.C1l ON <br />