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:_, <br /> everett �,l'"�� g �L"`�� � <br /> � . .. _ ' .-h•' - �- <br /> U <br /> City of Everett <br /> Fnginecring Department <br /> Sewer Application and Permit <br /> - NO. 2 I '=- ) �' DATE , <br /> Service Address Utility Account No. <br /> ' Billing Address Connection Permit Fee <br /> City, St2te, 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 /> '°t � Monthly Sewer Service <br /> Block <br /> Division or Addition - Monthly Sewer Constr. <br /> — Trunk � <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �o n � y <br /> Approved By <br /> Ciry Engineer <br /> Issued By - <br /> Inspection By �'P'� C� l(41a•`� <br /> Datelnspected �/�[ — <br /> � <br /> e <br /> SEE SKETCH ATTACHED Np, � 1 (i ` f <br /> IP1•;�'C(�I I�)i: <br /> —ci - <br />