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everett <br /> � � <br /> �� > � -' <br /> � � , , �� � � � <br /> .� � � <br /> City of Everett //f� <br /> Engineerinq Depertment <br /> Sewer ��plication and Permit`'yyr <br /> N0. � 1L55 DATE <br /> Service Address Utility Account No. <br /> Billing Address_ _._ Connection Permit Fee <br /> City,State, 7_ip__ � Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By__ , <br /> Address Signed <br /> Phone � c��m�„e� <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block _ Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr, <br /> Type Permit: Trunk_ <br /> Lateral <br /> fiemarks: �� <br /> Abutting Lot Line <br /> c`irPPlo ,is �E_ P si-��. N, S, E, W _ft. <br /> Approved By_, <br /> Cily Enpmea <br /> Issued By _ <br /> --- �p � ��Y�z`� <br /> Inspection By <br /> y-- ---_ Date Inspected_� � _�'" 8 Z.-i 2� <br /> SEE SKETCH ATTACHED NO. �' 1 �j �� � <br /> i <br /> � <br />