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, ,, <br /> everett .��� � 1; �_; -.,_ <br /> � Y : .r <br /> _ a� ._ h.r �- ; <br /> E <br /> City of Everett � <br /> Engineering Department <br /> Sewer Applicai�ion and Peri•nit <br /> NO. DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgager� Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> _ Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By <br /> o Date Inspected <br /> SEE SKETCH ATTACHED Np r? � ;: <br />