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i <br /> evere�Y � <br /> � � - ; � � .—/ � iI <br /> � ,.y/��' <br /> City of Everett <br /> Engineering Oepartment � <br /> 5ewer Applieation ar�d P��mit <br /> � � �� � 1 <br /> �., <br /> N0. LUOb [:,��,, - DATE <br /> Sen•ice Address — Utility Account Na. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee -- <br /> Owner (Mortgagor) � Total Fee___ <br /> Billing Name <br /> Cannection By_ <br /> Aadress _ Signed — <br /> Customer <br /> Phonc --- - <br /> DESCRIPTION: Sewer Districc <br /> �O1 -- Monthly Sewer Service --- <br /> B:ock <br /> pivision or Addition Monthly Sewer Constr. <br /> ___—_ Trunk <br /> Type Permit: c. — <br /> — ' Laterel — <br /> Remarks: Abutting Lot Line <br /> , . _ _ - J,' •- i N g, E, W _ ft. <br /> � �;� .-e . � , � <br /> - Approved BY— ------- <br /> Ciry En9mcer <br /> Issued By_—.-- — -- <br /> J� Inspection By — — <br /> Date I nspected <br /> , SEE SKETChI ATl'ACHED N� � <br /> --� <br />