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evereri - --� <br /> e �� 5 �-� � <br /> _ <br /> z _ 30 _ z � - 5 <br /> Citv of Everett <br /> Enpineering Department <br /> Sewer Application and Permit <br /> N0. �- - , DATE <br /> ; <br /> Serv;ce Address. Utility Accou�t No. <br /> Billing Address_ = - Connection Permit Fee '� r <br /> City, State, Zip - ; Connection Fee <br /> Owner (Mortgagor) _ Total Fee ' <br /> Billing Name <br /> Connection By�_ � �- � . <br /> Address_ f ,� Signed <br /> CN�OrtIlf <br /> Phone <br /> DESCRIPTION: SewerDistrict_.' �ti.�- 4. :'1 '�,t - � <br /> Lot_ �. . � i � <br /> Block Monthly Sewer Servicei I'. . a- -c <br /> Division �r Addition . � � . , i Monthly 5ewer Constr. <br /> Type Permit: f,_� Trunk - <br /> r' <br /> Lateral - <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � 2+�` ' - <br /> Approved 8y <br /> a�v e�o��e� <br /> Issued By <br /> / <br /> J;� <br /> Inspection By � �.r-t-���^--� <br /> o — Date Inspected g/1�� � <br /> SEE SKETCH ATTACHED Np. 2� �' , <br /> 1NSPEGTION <br />