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everett ---- <br /> e 'l � .��� � �- �' <br /> _ �. <br /> , .`-�/30 7`, <br /> City of Everett � �� �� ���;� � <br /> Engineering Oepartment ✓ `� �" <br /> Sewer Application and Perm�t <br /> 33 �a2 �) <br /> N0. �(18�5 DATE .- - ' <br /> / <br /> ServiceAddress � ' UtilityAccountNo._... <br /> Billing Address `" Cunnection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee ' <br /> Billing Name <br /> Connection By <br /> Address _ Signed,_ <br /> Custamer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: � y _ _7s— <br /> Abutting Lot Line <br /> _ N, S, E, W ft. <br /> Approved By_. <br /> Ciry Enyinecr <br /> Issued By <br /> Inspection By <br /> 0 <br /> Date Inspected <br /> SEE SKETCH ATTACHED No� 2 0 8 I 5 <br /> I>JSPEC I I��;i <br />