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everett <br /> � ���.�) !,�'� i_ _i <br /> City of Everett � _ ' � � �:' ;�i ' <br /> / <br /> Engineering Depaitment <br /> Sew�r Application and Permit <br /> NO. � DATE � i�i- �� . � <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Custamer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Canstr. <br /> Type Perrnit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �_ N, S, E, W ft. <br /> .2e-C� �� e X r U <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By �i�/ l�c�!,.� <br /> e <br /> Date Inspected ��''Zy�7y <br /> SEE SKETCH ATTACHED N0. '� <br /> :J .�_ . <br />�— —�.��.d .. >�: ...ti_� � — --- — — • l� <br />