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'everett ` <br /> e . - � - .. - -,. ,� _ � <br /> l <br /> City of Everett <br /> Engineering �epartment <br /> � <br /> Sewer Applicction and Permit <br /> 33423 <br /> No. 2 0 5 8 6 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 /> cu:tomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Monthly Sewer Service <br /> Block <br /> Divi:ion or Addition Monthly Sewer Constr. <br /> / <br /> — Trunk <br /> Type Permit: _ <br /> Lateral <br /> Remarks: <br /> , Abutting Lot Line <br /> , N g, E, W ft. <br /> , __ . _ . ,� _ v ` <br /> � � <br /> � ; <br /> � _ . _ _ . <br /> - _ ` <br /> _ _ APProved By <br /> . . . Gry Engineer <br /> Issued By <br /> � 1?_do ?;zr ' <br /> '�'„�" - <br /> Inspection By — <br /> Datelnspected <br /> 0 <br /> SEE SKETCH ATTACHED N�� ?_ 0 5 8 6 <br /> INSPECII(.)N <br />