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:-�. <br /> j <br /> � <br /> � <br /> everett � — _ _ �� ,% _ � I <br /> I <br /> � :� � I — - <br /> U <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> 33616 � <br /> No. 20689 DATE -' ' <br /> Service Address /-% ' � Utility hccaunt No. — <br /> Billing Address — ' " %%� ' Cannection Permit Fee ' <br /> City, State, Zip ` �•' "� " � � � % Connection Fee - � �� � _ <br /> 0�^ ier (Mortgagor) �. %�t i �� -� Total Fee <br /> Billing Name — � � ��: �- <br /> � <br /> Connection By �� �� - <br /> Address % Signed <br /> Cuitomer <br /> Phone `� <br /> DESCRIPTION: SewerDistrict % <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly£ewer Constr. <br /> Type Permit: Trunk � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By � <br /> � Ciry Eneineer <br /> Issued By <br /> Inspection Dy KC��G�� ^� <br /> o Date Inspected "'i ��`� <br /> SEE SKETCH ATTACHED NO. � (l (j �; � <br /> r�� �,�,,:CTiu�: <br /> _�,�. <br />