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C'YC�CYf �� ,� _ / _� � � I '1 ' I <br /> t � ,� (/ <br /> �. _ ' �� , � <� ��`�/�� ' <br /> ���� <br /> City of Everett � <br /> Engineering Department � <br /> Sewer Application and Permit <br /> N0. 21� 4$ 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 Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> --- Trunk <br /> Type PermiL <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> � N g E y� ft. <br /> . , <br /> - Approved By_ <br /> Ciry Engineer <br /> � � , � ... � ".— ' � ' . <br /> Issued By <br /> I nspection By��� �� <br /> Date I nspected � ��� �� <br /> � <br /> SEE SKETCH ATTACHED N�• � �1 n ='��� <br /> _ ��'�l('�.: <br /> —�ec _ . <br />