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everett /�� ." --:,,� _ �—� <br /> � �/ — 3r - Z 7 — = ( <br /> . <br /> City of Everett <br /> Enpineering'Department Iri� � <br /> Sewer Application and Permit r ;i � '` � <br /> �J <br /> NO. L � J � C DATE � _ <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 /> Custamer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Serv�ce <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 /> �-' ° ,�'�--����`�,/_ _ <br /> Approved By <br /> Ciry Fngineer <br /> Issued By <br /> Inspection By�!� I��`—' <br /> Date I nspected � ��� 3�7 G <br /> o— � <br /> SEE SKETCH ATTACHED No. 215 2 6 <br /> I i�l�P�(;T!'�� , <br /> �.� <br />