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� F � •� <br /> e��e��tt <br /> � r �6 �� _ � <br /> ��,� j � � 7 t <br /> City of Everett <br /> Engineering Department ; �. 'c ,�.`!� <br /> Sewer Application and Permit � <br /> N0. DATE <br /> Service Address Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, State, Zip ---- <br /> Connection Fee <br /> O�,vner (Mortgagor) Total Fee --- <br /> Billing 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 /> - Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> city Ene�neer <br /> Issued BY— <br /> Inspection By <br /> � — Datelnspected <br /> 3 N0. ' � � �' � <br /> SEE SKETCH ATTACHEP <br />