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, <br /> everett , �'y � � '�'�'�� I <br /> � ... , n A�' � > � Z � � �' ' <br /> ' '"' � <br /> City of Everett '"'� �' � -- � (o <br /> Engi�ieering Department � � <br /> Sewver A�plication and Permit 'f�`� `� <br /> 1 <br /> N0. � 1 i � � DATE _T � � -� <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 /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: ��S Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By ���1� � <br /> __ Datelnspected ' 6 "7 <br /> 0 <br /> SEE SKETCH ATTACHED rvo. 21292 ; <br /> , <br /> , <br /> INSPECTION + <br /> `�« S�`�> ^�= � ' <br /> � �..r �h a'"f� . .._.. . ....... ..� <br />