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everett �, <br /> � ^ Sr�_ __.._n / 9 7 -� � ' <br /> � �� i S <br /> - � - Z�' '�`"� `t. �/ � <br /> J <br /> City of Everett <br /> Engineering Department <br /> Sewer Applieation and Permit � �6 y 1 � <br /> ,,,., <br /> No. 20730 DATE � <br /> ' � "_ — >�' Utility Account No. ' " ' � <br /> Service Address � i <br /> Billing Address ' `•��" ' ` ' • j , �" ' Connection Permit Fee --' <br /> City, State, Zip � � `" Connection Fee ' : ,j� � <br /> Owner (Mortgagor) ' ' �' Total Fee '' � <br /> �� <br /> Billing Name ' <br /> Connection By '- �'� <br /> Address ' ' � � • �� �'�'� ' � Signed Cusromer <br /> Phone `� � '� <br /> . ,. , <br /> DESCRIPTION: Sewer District �. ' <br /> Lot Monthly Sewer Service_ <br /> Block --� <br /> Division or Addition - <br /> ' � � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ' <br /> Lateral <br /> Remarks: qbutting Lot Line <br /> N, S, E, W _ ft. <br /> Approved By_ ' <br /> � City Enginecr � <br /> Issued By <br /> 'nspection By � <br /> JDate I r.spected U � 7� <br /> a SEE SKETCH ATTACHED N�� 2 07 3 0 <br /> �.. � :fin�� <br /> --�q <br />