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everett , � �-'.!y,:=r" �fj� <br /> F�� '`� �!/, ' , <br /> e . : �_ .� <br /> City of Everett <br /> Engineering Department <br /> Sewer �4pplication and Permit <br /> „ <br /> N0. . _ __ . DATE <br /> Service Address Utility Account No. <br /> Billing Addrass Connection Permit Fee <br /> City, State, Zip _ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address_ Signed <br /> Cusmmer <br /> Phone._ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block_ Manthly Sewer Service <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 /> City Engineer <br /> Issued By <br /> Inspection By <br /> Datelnspected <br /> e <br /> � ^ -, �,� r� <br /> SEE SKETCH ATTACHED NO. ,__ � ,, �, . , <br /> � I�lSPECTIOf! <br />