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. <br /> ��1 I <br /> everett _ / :"_. -- 2. �.' .. .:� <br /> � ` � i - - <br /> City of Everett <br /> E;igineering Uepartmeut <br /> Sewer Application and Permit ' <br /> 33618 � <br /> No. � 0690 DAIc ;J �' , _ <br /> Service Address '� �- Utility Account No. � ' <br /> Biii�ng Address �� - Connection Permit Fee — <br /> City, State, Zip � /i. Connection Fee � " <br /> Owner (Mortgagor) �" ' Total Fee ' ' -" <br /> Billing Name �- t <br /> Connection By '�'� ' '��' - � <br /> Address _ Signed <br /> Cus�omer <br />� Phone � — <br /> DESCRIPTION: Sewer District_ - <br /> Lot � <br /> Monthly Sewer Service <br /> Block ` <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �,! - ; ; ;';. <br /> Lateral - <br /> Remarks: <br /> Abutting Lot Line _ <br /> N, S, E, W ft. <br />, Approved By_ <br /> Cily Engineer . <br /> i <br />' — Issued By <br /> Inspection By ��•�� ���o�J _ <br /> Date Inspected ��>%7�i <br /> o ' ' <br /> SEE SKETCH ATTACHED N0. ;� � 6 � i� <br /> s 'ii: '. <br /> -r_-_, <br />