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u��� ' <br /> evereft r� �� <br /> -�- � 2 5 _ 5 � .,��/�����5,�- <br /> � -� �, <br /> City of Everett <br /> Engineering Oepartmen[ <br /> Se�ver A�ap�ication and Perr�rit �; .; ; f; �; <br /> N0. � Qb � �) DATE - -�% - <br /> Service Address ' ' __ Utility Account No._ �- <br /> - <br /> Billing Address � '� Connection Permit Fee - _ <br /> City, State, Zip ' �� %' � Connection Fee <br /> Owner (Mortgagor) '/: ' Total Fee <br /> Billing Name <br /> Connection By t "' �- . <br /> Address - � `'i Signed <br /> � � Custamer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Typc: Permit: �' ' , :,� ���, Trunk <br /> ' Lateral <br /> Remarks: S P�� S ET f/.. <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � . - <br /> Approved By ' ' - <br /> Ciry Enginear <br /> Issued By <br /> Inspection By � ; , � ;�� `: �� ' <br /> � Date Inspected �� � — ��- 7-5 <br /> SEE SKETCH ATTACHED NG. ? (1 � ?, � <br />