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everyett � <br /> � ����'' �f'.�- ����'�%�j�/��f � <br /> �- <br /> � <br /> City of Everett - <br /> Engineering Department � <br /> $,ewer Application and Permit - � 3 ��� <br /> N0. `ZO85 � UATE <br /> - ., ' Utility Account No. <br /> Service Address <br /> Connection Permit Fee <br /> Billing Address - <br /> Connection Fee <br /> City, State, Zip <br /> " � """ � Totai Fee <br /> pwner (Mortgagor�--- - <br /> :- ---- <br /> Billing Name <br /> Connection By _ . <br /> Signed Cusmmer <br /> Address <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_---- Monthly Sewer Service_ <br /> Block_--- Monthly Sewer Constr. <br /> Division or Addition <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: A��,�,X, yJ " eF y" �'vc �/Pf ro E .ss,.�- Abutting Lot Line ft. <br /> � N, S, E, W <br /> S���I.�Ci.' <br /> LATfR L N C NA G BLN/�'U �• <br /> 5 �E.e S c <br /> �— <br /> QppfOVBC� BY�• City En9inccr <br /> ���— <br /> — Issued By <br /> � �40-./. ��` <br /> Inspection By �—.-'.'---� <br /> Date Inspected � G %S — <br /> o�— NO. `:� n � r: � <br /> SEESKETCH ATTACHED � <br /> � � �r. �, <br />