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.. � =; � , <br /> eJere�Y� ' <br /> -� �! — `� �,--,��:� �?�/7� L� <br /> � � � � . <br /> City of Everett <br /> Engineering Department <br /> Sewer Appl��ation and Permit 3 3 6'7 �� <br /> No. 20723 DATE <br /> � -- �� - <br /> � � Utility Account No. <br /> Service Address " " <br /> Connection Permit Fee <br /> Billing Address_ <br /> _ Connection Fee <br /> City, State, Z�P <br /> Total Fee <br /> pwner lMortgagor) <br /> Billing Name <br /> Connection BY <br /> • Signed c„�mm�� <br /> Address <br /> �-- i <br /> Phone - <br /> Sewer District <br /> DESCRIPTION: <br /> Monthly Sewer Service <br /> Lot�---- <br /> Block�--- Monthly Sewer Constr. <br /> Division or Addition Trunk <br /> � . - - <br /> Type Permit: Lateral - <br /> Abutting Lot Line __ _ - {t <br /> Remarks: N� S, E, W <br /> qpproved BY ����Enginecr <br /> Issued BY <br /> Inspection By <br /> ��� — <br /> Datelnspected <br /> o�/�� 7 y <br /> N0. `� (� � 7 .� <br /> n <br /> SEE SKETCH ATTACHED <br /> � , <br />