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:=.� <br /> - " I <br /> everett I . . � <br /> � ~ - �� � �l / <br /> / - I <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit � ;�5� o <br /> No. 2 0 6 61 DATE ! ' � <br /> Service Address '� � Utility Account No. ' �"' <br /> Billing Address Connectiaii Permit Fee <br /> City, State, Zip � 1 Connection Fee � � <br /> Owner (Mortgagor�_ � Total Fee - <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> CustOmer <br /> Phone � <br /> � <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division ar 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 /> Ciry Engineer <br /> Issued By ' <br /> Inspection By /�/ B�LG�-K�:�, <br /> o Date Inspected_ �a �3� 7 �/ <br /> �— <br /> SEE SKETCH ATTACHED N�• 2 O E C 1 <br /> If�I5PCC1Il)N <br /> —t -� --.�.• <br />