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everen � � <br /> � � <br /> , . , - <br /> City of Everett <br /> EnQirtecring Dep;rment <br /> Sewer Applicatian c�nd Permit <br /> r. , . �. _. <br /> NO. � " : DATE <br /> Service Address �3 2 � Utility Account No. <br /> Billing Address _ Connection Permit Fee <br /> City, State, Zip_ Connection Fee <br /> Owner (Mortgagor)_ Tota! Fee <br /> Billing Name <br /> Connection By _ <br /> Address _ Signed <br /> cu:,omer <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 /> Abutting Lot Line <br /> N, S, E, W ft. <br /> _ Q � �Q <br /> Approved By <br /> City Enpineer <br /> Issued 8y <br /> Inspection By ��—+-��'�u----� <br /> o _ _ Dat? I nspected p��� <br /> SEE SKETCH ATTACHED No. 214 o r <br /> INSPECTION <br />