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i <br /> everett <�0 5 j�� `�'�- � <br /> � � � �.�_ 3� -y�i -- : <br /> ( �� �> _ <br /> � � �)_). �' 300,3 C.. l _ _� <br /> City of Everett -,,, `� , /� ' <br /> Engineering Uepartment � V /,�� � � `�3 � �,�� <br /> Sewer Application and Permit ' ���Q '�``�� <br /> � ,� ���- ._ <br /> NO. _ ._ . DATE ` ,� <br /> Service Address Utility Account No. <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 /> Cuslortrer � <br /> Phone <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 /> Remarks: ,Sp.o A. .. ' ' <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> - /a 6 <br /> � ,-,� ,._ �--t. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By <br /> e Datelnspected� <br /> SEE SKETCFI ATTACHED N0. � '(. ;? %� .� <br /> IfVSP[CTIOP� <br />