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� ' - / _ _. I <br /> �"__ � <br /> , ^ �: <br /> --� � - - <br /> , _J_ _ � ._ <br /> 1 <br /> City of Everett � <br /> Engineering Oepartment <br /> Sew�r Applicat��rr and �'ermit 3 3 � =� �, <br /> N0. 2 O � J Fj DA7E <br /> Sen�ice 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 /> Cuslomer <br /> Phone .-- <br /> DESCRIPTION: Sewer District <br /> Lot ylonthly Sewer Service <br /> Block_ <br /> Division or Addition Monthly Sewer �onstr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: _ _ -- = <br /> -- --- - Abutting Lot Line <br /> N, g, E, W__ ft. <br /> . ` ,i <br /> ---*-� - <br /> l • Approved By_ — <br /> �J�� t �',C.. t .� ) .p CitY Engincer <br /> _ I, � <br /> ^`"c�' ' � Issued By — <br /> Inspection By <br /> Date Inspected <br /> v <br /> SEE SKETCH ATTACHED NO. <br />