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evereif : , - . . <br /> � � ' <br /> y���� JL� <br /> / <br /> y - • a1. � �1 ._ <br /> " i r , <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> � � DATE <br /> N O. r__ � " ;J :_ <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 /> � � Customer <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: <br /> � Abutting Lot Line <br /> � �� ^ N, S, E, `N ft. <br /> —/�- c — / —� . <br /> Approved By <br /> City Engineer <br /> Issued By <br /> 11� 1 <br /> Inspection By � � <br /> Datelnspecte�_ � <br /> B <br /> SEE SKETCH ATTACHED �� N0. �� .I_ LI '� �' <br /> u - <br />