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everettl /�O � �Lr,� <br /> U� I '� — <br /> r-�.. � - ` �r - y <br /> City of Everett i <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> N0. , __ DATE <br /> Service Address Utility Account Nn. � <br /> Billing Address Connection Permit Fee _ <br /> City, StatE, Zip Connection Fee I <br /> Own�; (Mortgagor) Total Fee I <br /> � <br /> Billing Name <br /> Connection By <br /> AddrFss Signed <br /> cu:tomer � �... <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: <br /> Abu!ting Lot Line <br /> _ N, S, E, W ft. <br /> � �� <br /> — Approved By — <br /> Ciry Engineer <br /> Issued By <br /> Inspection By �^ _ <br /> _ Date 1 nspected /� _ <br /> 0 <br /> SEE SKETCH ATTACHED NO. n I_ '! � � <br /> iir'$rECTiON <br />