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,. <br /> everett - J " � , <br /> � , <� <br /> � _ - __ . . _. <br /> City of Everett <br /> Engineering Uepartment <br /> �'ewer Ap�p�icatio�n and Perrr�it <br /> N0. - DATE <br /> Service Address Utility Account Nn. <br /> Billing Address — Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> B�!ling Name <br /> Connection By -- <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block _ <br /> Division or Addition Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: <br /> Lateraf <br /> Remarks: � <br /> Abutting Lot Line <br /> � ft. <br /> �2�p,�, < <-il aPP(Z-'�c o _ q-„ P � � ;-« N, S, E, W <br /> -\��C 1 t�A G� ' ' G L G 5 c�2v�S 3.]' t-( <br /> �3Z't- i3i : r-� > :+�?fc-.. r-c� Y�� <br /> ...,n ' � , .U �.� -lo..ts�s ., <br /> Approved By <br /> �' Ciry Enginecr <br /> ---- Issued By <br /> , <br /> Inspection By /C`-"`- �� � ���`-'�— <br /> Date Inspected �'ti--��"(?b I <br /> 3 <br /> NO. " � � r. ,_: <br /> SEE SKETCH ATTACHED - - <br /> , A <br /> ..✓� <br />