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; - <br /> everen - <br /> � <br /> % <br /> � - �- zS �-� ,�,?�� ���/s - / <br /> � � - <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> � 35��4 � <br /> NO. 2OHOO DATE <br /> Service Address �' - � � f% � Utility Account No. - ' <br /> Billing Address '%N%i Connection Permit Fee_ -�� � � �' ��1 <br /> City, State, Zip Connection Fee � <br /> Owner (Mortgagor) Total Fee ' <br /> Billing Name <br /> Connection By <br /> Address ' `' Signed <br /> CUSIOT.Cf <br /> Phone _. � -� <br /> DESCRIPTION: Sewer District - <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ; <br /> Lateral <br /> Remarks: sEE 5 E rc Abutting Lot Line <br /> .. <br /> /Nsns�c E� � oF - .�'vt� i C N, S, E, W _. ft. <br /> Approved By ' ' <br /> Cily Enginecr <br /> Issued By <br /> Inspection By �G�zL'Z.-„ � ���+�' <br /> IDatelnspected �L/9�i� <br /> a <br /> SEE SKETCH ATTACHED NO. 2 (� g Q � <br /> INSPECTION <br />