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- everett <br /> � <br /> City of Everett r <br /> Engineeriug Department -�I <br /> / <br /> Sewer Application and Permit - <br /> ,-, <br /> , <br /> �, <br /> NO. 2� ODU DATE ' — <br /> Service Address �� 2� � Utility Account No. <br /> Biliing Address Connection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor�.__ Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed c�:am� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot pqonthly Sewer Service _ <br /> Block <br /> Division or Addition ' E' ' Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral _. — <br /> Remarks: �, � g �. •- Gy c . oi �'o qbutting Lot line <br /> S T u c c <br /> _ �. N, S, E, W -- tt. <br /> .. <br /> 72�. L � � <br /> � <br /> w'� Approved BY_ <br /> Ci�y EngmeM <br /> Issued By <br /> �� 9 <br /> Inspectian By <br /> Date Inspected y^ 3 � � <br /> a <br /> SEE SKETCH ATTACHED N�• % 1 O D U <br /> ;f•i:;PCCTION <br />