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everen <br /> � � <br /> City oi Everett <br /> Engineering Oepertment <br /> Sewer Ap�lication and Permit <br /> 3 �, n�n <br /> N0. � ��g �O DATE _ <br /> Service Address Utility Account No. <br /> 8illing Address Connection Permit Fee <br /> City, State, Zip Conner,tion Fee_ <br /> Owner (Mortgagor) Total Fee_ __ _ <br /> Bil. ,ig Name <br /> Connection By <br /> Address � Signed _ _— <br /> Cusmmrr <br /> Phone <br /> DESCRIPTION: ' Sewer District __—.— _—_ <br /> Lot �`� <br /> Monthly Sewer Service_ —— <br /> Block _ <br /> Divisi�n or Addition Monthly Sewer Constr. <br /> — Trunk __ _ <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> � Abutting Lot Line <br /> :'� . N� S� E� W------ - ft. <br /> APProved BV—. <br /> GiV Engmeer <br /> Issuedf3y___________ --- <br /> Inspection By ---- — <br /> —. -- <br /> ____ Date Inspected ____.— <br /> e <br /> SEE SKETCH ATTACHED NO. "� ' ' <br />