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._ i -- <br /> everett ~ <br /> � ��'�-. � � �-- �. �� S-- <br /> ;�� � �2 _ � <br /> City of Everett � <br /> Enpineering Depanment ,��'�` � �'�� <br /> Sewer Application and Permit <br /> ��, � ^ � � <br /> N0. � _ : ::� � 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 /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> _ Lateral <br /> Remarks: <br /> , Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engineer <br /> Issued By <br /> InspectionBy ���/ �i/�:�,� <br /> a Datelnspected ��i 'Z— <br /> SEE SKETCH ATTACHED Np. L 1 � O ) <br /> li�::��;ri"�'I�i�)i.' <br /> . L7L � l . ` � \�� L�� ` L� s -r_.__ <br />