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evergfl - • <br /> i � <br /> � ) � � <br /> � � Z l �� �.� � <br /> � ' 7,' 2 //i <br /> City of Everett (/!� � �� `/ ����� <br /> 1 ! <br /> Engineering Department ` <br /> Sewer Application and Permit <br /> �- . ; C � <br /> J J'.r t' � <br /> No. 20605 D•p�TE \ <br /> ZB �I F-�At� ;a l)�.i:c�. ��` �.� CY <br /> Service Address Utility Account No.__ - <br /> Billing Address Connection Permit Fee <br /> City, State, Zip � � Conne�.tion Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By� <br /> Address � i � Signed � r _ <br /> ' " ' Customer � <br /> Phone <br /> DESCRIPTION: Sewer District " <br /> Lot <br /> Block_ Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: <br /> Trunk <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> N, S, E, W_ Ft. <br /> ��— • <br /> � � ��-S � <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By �//-�-��.-�U-.� _ <br /> o Datelnspected �/��"7'y <br /> CEE SKETCH ATTACHED N0. � i� r; (l �� <br /> • <br /> _ _ � � . . <br />