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evEren „�� <br /> ��jr � � <br /> � � <br /> CiN of Everett l C ' � •-� � � �` � <br /> Engineering Department <br /> Sewer Application and �'ermit <br /> n �' i: :� - . i .. ..., <br /> N0. � '_ �_� :. _ DATE � — <br /> Service Address Utility Account No. <br /> Billing Address_ Connection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Eiilling Name <br /> Connection By <br /> Address Signed <br /> Customer <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 /> Remari:s: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> l� � ��� <br /> Approved E3y <br /> Ciry Engineer <br /> Issued By <br /> � InspectionBy ��-�-����u - <br /> _�Date I nspected_� ��� � <br /> e <br /> SEE SKETCH ATTACHED NO. i' I j ';i % <br /> INSPECTIf": <br />