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i � � � <br /> everett � , �/ -- r' (� <br /> (� �" <br /> � ' f � � �O/� � <br /> ��� � -�C'�� �� , <br /> 11 � • , � <br /> City of Everett , <br /> Engineering Department <br /> Sewer Application and Permit <br /> ;,,��.,�'��f <br /> NO. 2�Q2� DATE <br /> �', .�. �- Utility Account Na <br /> Service Address - <br /> � Connection Permit Fee <br /> Billing Address �annection Fee <br /> City,State, Zip <br /> Total Fee <br /> pwner lMortgagor) <br /> Biliinn Name' <br /> Cnnnection By � <br /> i : Signed c�:�ome� <br /> Address <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Monthly Sewer Service <br /> Lot_---- <br /> Block.—.---- , � Monthly Sewer Constr. <br /> Division or Addition Trunk <br /> Type Permit: Lateral <br /> Abutting Lot Line ft. <br /> Remarks: N, S, E, W <br /> qpproved BY.--• ����Engineer <br /> Issued BY <br /> Inspection By <br /> _ N �� 2 �'� - <br /> � <br /> Date I nspected �– 3 � <br /> NO. �! I. n ,, �� <br /> � <br /> SEE SKETCH ATTACHED <br /> _. '�,�i��., . <br />