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i1 <br /> '� <br /> everett � � �� <br /> � ;' . t ''� ...'�,�'a- `. <br /> .:, <br /> City of Everett <br /> _ Engineerinp Oepartment <br /> Sewer Application and Permit <br /> NO. �_ � ' . ._ DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Pernit 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 Oistrict — <br /> Lot <br /> Vlonthly Sevier Service <br /> Block_ <br /> Division or Addition _Monthiy Sewer Constr. <br /> - Tr�nk <br /> Type Permit: <br /> Lateral <br /> Remarks. <br /> Abutting Lct Line <br /> N, S, E, W ft. <br /> s; ���l�C. ';— 6 �Co.�lt`. .Dif< /95- /�F,c• . <br /> 5,�E-� � <br /> Approved B�� <br /> Ciry Engineer <br /> Issued By <br /> Inspection Ey ' r `� �� <br /> Date Inspected �L%'� <br /> e <br /> SEE SKETCH ATTACHED N�. .� �_ '� j _'-. <br /> � <br /> « <br />