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a <br /> 4��''' <br /> everet! � <br /> � �-' --> � <br /> ; �, a ._� .� <br /> ; <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicatior� and Permit <br /> N0. r- � ' , DATE <br /> Service Address Utility °ccount No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name_ <br /> 0 <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone <br /> CtSCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> , Trunk <br /> Type Permit: <br /> Laterel <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> �� <br /> � ..�C�� — <br /> �' '�" Approved By <br /> City Engineer <br /> —� �� , �lssued By <br /> �1' <br /> � i <br /> � ___._�!� <br /> Inspection B <br /> � — . _/. <br /> �-----�� atelnspecte � - <br /> a <br /> SEESKETCHATTACHED N�• � � n ' ' ' �' <br />