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! <br /> 1 <br /> � �.=>� 5 � �:� <br /> .ett � _ � —z.�'' �S� <br /> �e <br /> _ �. � � � <br /> City of Everett � <br /> Engineering Department rt� �' <br /> Sewer Application and Permit '`' <br /> Yl � <br /> N0. C�_ 3 �) 7 DATE � <br /> - � - <br /> Utility Account No. - - <br /> Service Address <br /> Connection Permit Fee <br /> BiHing Address <br /> Connection Fee <br /> City, State, Zip <br /> Total Fee <br /> Owner (Mortgagor►�— <br /> Billing Name <br /> Connection By <br /> Signed c�sroma� ` <br /> Address <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_-- Monthly Sewer Service <br /> Block_-- Monthly Sewer Constr. <br /> Division or Addition <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: � Abutting Lot Line ft. <br /> N, S, E, W <br /> qpproved By <br /> City EnBineer <br /> Issued BY <br /> Inspection By <br /> . Date Inspected �� � <br /> a rvo. 213Q7 <br /> SEE SKETCH ATTACHED <br /> Ir15?t=i)I IOi''�. <br /> —�i. <br />