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everett , � , <br /> � \ . , <br /> � 1 � � � <br /> i '' <br /> ) � i � /'. f �1 <br /> �'- /�,,� _ ..� <br /> City of Everett ' <br /> Engineering Department • <br /> Sewer Applicatian and Permit <br /> � <br /> JvJx ,-1 <br /> NO. 20FL; �j DATE <br /> :� / _- • - <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagorl_ Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed _ <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Black Monthly Sewer Service <br /> Division or Additior Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: -- <br /> Lateral <br /> Remarks: /j/`j /y�� S d� / Z�- 7 <br /> Abutting Lot Line <br /> _ N, S, E, W ft. <br /> — Approved By <br /> CRy Engineer <br /> iss�ed ay <br /> Inspection By_ <br /> 3 Date Inspected_ <br /> SEE SKETCH ATTACHED NO. �' ^ �, ;' �' <br />