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e��erett , <br /> � � � � �� ��, f� � � �� � � <br /> , ; ,. �.,�. <br /> �- <br /> : ,- <br /> City of Everett <br /> Engineering Department <br /> � <br /> Sewer Applicatioro and Permit <br /> NO. �. � U / r DATE _ - <br /> Servicr Address,��_� Utitity Account No._— — <br /> Biliing 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 /> a�:io�„e, <br /> Phone _ <br /> DESCRIPTION: Sewer District — <br /> Lot 7 <br /> Block � / Monthly Sewer Service___ <br /> Division or Addition �/ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: ,�r "PvC As `F.P � Abutting Lot Line <br /> N• S� E� W --—ft. <br /> Approved By__ _— <br /> City Enginrr� <br /> �SSUC(IBy_ _._ - _ _"_-- <br /> � �(_. ���� <br /> _ - - Insoection By�• <br /> 9 _ _. _-- <br /> Date Inspected /�' �S —_ — <br /> SEE SKETCH Al'TACHED NO. " � <br />