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nVCCI'ft �� / . . . . � <br /> .e � � � �. <br /> :�, �,p ���y/,�� <br /> �; s ;� <br /> City of Everett �� ���!��- <br /> Engineering Uepartment <br /> Sewer Application and Permit <br /> � , 3 t; . <br /> ,� ..•� <br /> rvo. 20592 DATE :; ._ , , /; <br /> Service Address - - �` .: C � , ;.'Utility Account No. <br /> Billing Address " •' ��S �:- Connection i'ermit Fee - <br /> City,State, Zip ` � ; Connection Fee <br /> Owner (Mortgagor) > � ' Total Fee - <br /> Billing Name <br /> Connection By <br /> Address Signed ' <br /> Cusromer <br /> Phone ' � <br /> �=SCRIPTION: SewerDistrict - " <br /> Lot <br /> Block Monthly Sewer Service �' ` <br /> Division or Addition Monthiy Sewer Constr. <br /> ; <br /> Type Permit: Trunk ' ' <br /> - �� Lateral <br /> Remarks: � � � <br /> Abutting Lot Line <br /> N S E W ,. ft. <br /> /'� �Z� <br /> '� C <br /> v �c , <br /> Approved By <br /> Ciry Engmcer <br /> Issued By <br /> I nspection By K C R ��a�o .J <br /> e Date Inspected��Zz,/� Y <br /> SEE SKETCH ATTACHED N�� 2 0 5 g 2 <br /> ir.;,�i� -�^� �nni <br />