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everett ��� ���- �_�� <br /> � /�- /`� 'Z�` � ' <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit , <br /> NO. ._ DAT[ <br /> Service Address� -{ �/V-�.S�X ��1, a Y Utility Account No. <br /> �� . <br /> Billing 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 /> . . � ustomer . <br /> Phone - <br /> DESCRIPTION: Sewer District <br /> Lot� Monthly Sewer Service <br /> Block S! r <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �, ���— <br /> % <br /> Approved By <br /> City Enpineer <br /> Issued By <br /> 7 <br /> �/� < <br /> Inspection By �m�:, -'�'-'d"� <br /> Datelnspected '-����— � <br /> a 5EE SK.ETCH ATTACHED N0. 2�Ej 8 Q I <br /> i. I <br /> I <br />