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�� � <br /> I - <br /> ' <br /> evereit G � ; �� � �y/75 �/ <br /> � � , ���—�< r - 5 ���� / � <br /> � <br /> City of Everett <br /> Engineerinp Oepartment <br /> Sewer Appiicatian an�� P�rmit �, � � , -; <br /> � �� , .a : <br /> N0. ;i�; ��. ,' �:: CATE _ � <br /> .i .J �;, <br /> i Utility Account No. <br /> Service Address <br /> Connection Permit Fee <br /> Billing Address _ ___ <br /> � - �- Connection Fee <br /> City, State, Zip _ <br /> Total Fee �— <br /> Owner (Mortgagor)_ <br /> Biliing Name <br /> Connection By � <br /> Signed --'— <br /> Cusmmer <br /> Address <br /> Phone <br /> Sewer District — <br /> DGSCRIPTION: <br /> Lot_-- Monthly Sewer Service — <br /> Block — Monthly Sewer Constr. <br /> Division or Addition <br /> _�— Trunk <br /> Type Permit: Lateral_�— — <br /> �-- <br /> Remarks: _ , ,. , , Abutting Lot Line _ft. <br /> N� S, E, W—�— <br /> � <br /> � <br /> _ " ApprovOdBY__� CityEng�necr_ <br /> Issued By <br /> _ Inspection By <br /> Datelnspected <br /> o NO. � ,'1nr � <br /> SEE SI<ETCH ATTACHED <br /> \ <br />