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,. / <br /> everett ;' � �� ._ _ `" — -- - <br /> � � M r <br /> � / _. . _. - , <br /> City of Everett <br /> Enginee�ing Depart:nent <br /> Sewea� Appli�ation and Permi� 33585 � <br /> , - <br /> N0. �OE7 � DATE <br /> Utility Account No. " <br /> Service Address <br /> Connection Permit Fee__ <br /> Billing,Address ` ,_ — <br /> Connection Fee <br /> City. State, Zip--- , � <br /> Total Fee <br /> Owner (Mortgagor) <br /> Billing Name <br /> 1 _ <br /> Connection BY <br /> ,: ' Signed � c�:�om�� <br /> Address <br /> Phone <br /> Sewer District._� <br /> DESCRIPTION: - <br /> Lot�— Monthly Sewer Service <br /> Block�— , Monthly Sewer Consir. <br /> Division or Addition - <br /> Trunk <br /> Type Permit: �--- Lateral <br /> Ramarks: Abutting Lot Line ft <br /> __--- N, S, E, W <br /> qpproved BY c�cv E�q����� <br /> Issued By ` <br /> --� <br /> inspection B;� K' G. <br /> Date Inspected � �z� � <br /> Q— No. 20673 <br /> SEE SKETCH ATTACHED <br /> �;c:r��:C"� ii),d <br /> —�•_ - <br />