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everen <br /> e - � <br /> , <br /> City of Everett <br /> Enpineerinp UepertmeM <br /> Sewer Application and Permit <br /> NO. DATE <br /> Service Address Utility A�.count No. <br /> Billing Addreas Connection Permit Fee <br /> City, State, 2ip _ ' Connection Fee <br /> Owner (Mortgagor) Sotal Fee ' ' , . <br /> Billing Name <br /> Connection 8y _ <br /> Address_ Signed _ <br /> c�,eo„�e� <br /> Phonr. <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition _(�/ionthly Sewer Constr. <br /> — Trunk <br /> Type Permit: '— <br /> lateral <br /> Remarks: �. <br /> Abutting Lot �i�ie <br /> _ N, S, E, N� ft. <br /> --- Approved By <br /> Ciry Enpineer <br /> Is:ued By <br /> Inspection By <br /> _ Datelnsoected <br /> 0 <br /> SEE SKETCH ATTACHED N0. `' 1, �l u �' <br />