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everett ���' s �—��- <br /> e � , � _. ,_ - �- 9. <br /> Ccty of Everett <br /> Engineering Department <br /> Sewer Application and P�rmi� <br /> N0. L1J � 1 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 /> - .zc� � �• <br /> Approved By <br /> City Engineer <br /> Issued By <br /> � r�-�� <br /> Inspection By �-� - �"-•`•--" _ <br /> Q Date Inspected � — - _ <br /> SEE SKETCH ATTACHED NO. i _I .rj E �._ <br /> � I i::;I�C;'.1-t tl i�I <br /> � <br /> I <br /> —c� - _ _ <br />