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, �, _ . <br /> eve�ett ;.� _ -Z�.- S / <br /> , , ) _ /r' r,t' �/ ?. � /� <br /> -e ` � � <br /> �,..,,., 1 , ,, <br /> , � , �, <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> �� �� �: � <br /> �, ,. ., ,ti 9 <br /> rvo. 20652 DATE �` .�; ;� � <br /> , � . <br /> Service Address - „_ ' ' - ' ' • r ' � ` -Utility Account No. — <br /> Billing Address � ` _ Connection Permit Fee —` <br /> Ci[y,State, Zip � Connection Fee <br /> , <br /> Owner (Mortgagor) - • � � ' ' � ' Total Fee -- <br /> Billing Name -- <br /> Connection By �, � �-- � ' ' ' ' <br /> Address ' � " � + �-' 'r' Signed � � <br /> CuSIO1M! <br /> Phone _ - , � _ <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service -" -'" <br /> Block <br /> Divison or Addition ' ' � ' � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � , ,, ; • __ <br /> � Laterel _ <br /> Remarks: Abutting Lot Line <br /> N S E W - ft. <br /> Approved BY ' . <br /> Ciry EnOme^r <br /> I5511f(� BY � <br /> - Inspection By �°�''� <br /> Date Inspected��y�? `� <br /> a <br /> S�E SKETCH ATTACHED N�� ' � � ` n <br /> ����CTlii�' <br />