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�vp . <br /> everett -; .._ , ,�. . � <br /> / � l` �� <br /> :. .•'�. � i/ .�.. <br /> � � .�_ /7, — �7 � ._.�1 . <br /> ,'� .,- r <br /> City of Everett <br /> Engineering Department <br /> Sewer Appfication and Permit <br /> N0. �_' I '? 31 DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) _ Totai Fee <br /> Billing Name <br /> Connection By <br /> Address <br /> Signed_ <br /> Phone • Customer <br /> DESCRIPTION: Sewer District <br /> Lot — <br /> Block Monthly Sewer Service � <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> — N, S, E, W ft. <br /> � � � <br /> Approved By <br /> Ciry Engmeer <br /> Issued By <br /> Inspection By_ K��✓ �6�/�e.✓ <br /> e Date Inspected r���7G <br /> SEE SKETCH ATTACHED NO. ? :j 11 j � <br /> IidSPL=CIIOrd <br /> __r_�_ . <br />