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everen " ' ' ' - <br /> � /, • r� / �� .• , � . . <br /> ! <br /> � � <br /> City of Everett <br /> Enpineering Oepartment <br /> Sewer Application and Permit <br /> N0. . UATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> 8illing Name <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> T��pe Permit: Trunk_ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> : �t i,', , �.,, N, S, E, W <br /> � ft. <br /> Approved By <br /> a�v e�a��e�, — <br /> Issued By <br /> � 7`7'-- <br /> _ InspectionBy ���G-�':'u�<—= <br /> �- __ Date Inspected_ � l 7 <br /> SEE SKETCH ATTACHED NO. ;� � /) r i <br />