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everen � <br /> e - �� <br /> City of Everett <br /> Engineering Department <br /> Sewer Application cnd Permit <br /> N0. DATE <br /> Service Address Utility Account No. <br /> Billing Address Conntction Permit Fee <br /> Ciry, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address _ Signed <br /> Cusmmer <br /> Phone __ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service _ <br /> Division or Addition Monthiy Sewer Canstr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> , Abutting Lot Line <br /> , N, S, E, W__ it. <br /> Approved By <br /> Ciry Enpmen <br /> Issued By <br /> Inspection 8y ___ <br /> --.---- -- Date Inspected <br /> 0 <br /> SEE 51(ETCH ATTACHED NO. <br />