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•eveiett . � � - � - <br /> �� S T�-� 7/31 I -7 �_ <br /> � l // <br /> �//�t''/✓ <br /> City of Everett <br /> Engineering Department t <br /> � <br /> Sewer Application and Perrr�it <br /> rvo. 20966 DATE - � ��� � � <br /> , <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 /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer District — � <br /> � S� <br /> Lot Monthly Sewer Service � <br /> Block <br /> Division or Addition ' Monthly Sewer Constr. / /S, <br /> Tru n k <br /> Type Permit <br /> Lateral � <br /> Remarks: �f " ,�^vc as f„- s,�-cr�if <br /> Abutting Lot Line <br /> N, S, E, W ft. � <br /> Approved By_ <br /> Ciry Enqineer <br /> Issued By <br /> � ;% �- <br /> Inspection By %'�j-� �'��`'�"�� <br /> Datelnspected_T�O �-�� <br /> � <br /> SEE SKETCH ATTACHED N�• ? Q G � j <br /> � <br />