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. ,. <br /> �erett � � <br /> � / � ��� ' � <br /> � �' G /7� , - p <br /> City of Everett <br /> � /3` ,�7�J <br /> Engineering �epartment <br /> Sewer Application and Permit :� .3 � l F; <br /> NO. � O �7U � DATE <br /> � L� ` � - ! . - ! � �I ' , � � �` ,, . <br /> Service Address ---'�-" — � � Utility Account No. <br /> Billing Address Connection Permit Fee — <br /> City, State, Zip Connection Fee <br /> Owner �Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot _ <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> - '-- Trunk <br /> Type Pcrmi2: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> GQ `,.7 G����i Ce-�� t��l,�- �eL't^��v�i <br /> c <br /> -T <br /> j�v. c� t-"� � c �.,.\ <br /> \ Approved By <br /> � D� C�,N a 4j� �,���.� n!� �y Ciry Engincer <br /> �� � � � a a � Issued By <br /> �c.�. � <br /> Inspection By <br /> Date I nspected <br /> 3 <br /> SEE SKETCH ATTACHED N0. (? ;O " n (� <br />