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� <br /> everett . <br /> ��, � 1 _ � �.� �� _ <br /> �;, <br /> / � y-23 "�`! <br /> . �(� ., �� ��' l��;. ��' <br /> City of Everett <br /> Enpineering Department <br /> Sewer� Application and Permit _ . ; � � . <br /> J �'s <br /> N0. 2OEO I DATE <br /> Service Address_ <br /> /dn/ f�. �/i' ST Utility Account No. <br /> Connection Permit Fee <br /> Billing Address <br /> Connection Fee <br /> City, State, Zip ---�— <br /> Total Fee — <br /> Owner (Mortgagor) <br /> Billing Name <br /> Connection By <br /> Sign�d °; <br /> AddfB55 Customer �a{'�- <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_�y—�-�-- Monthly Sewer Service�— <br /> Blocic� �' �� Monthly Sewer Constr. <br /> Division or Addition <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot �ine ft <br /> — N, S, E, W__-- <br /> Approved By <br /> , � ' � City En9�neer <br /> Issue�i R1, <br /> � <br /> — ,�. <br /> Inspection By ''� <br /> �L <br /> — Datelnspected <br /> e rvo. ? Qt'. � 7 <br /> SEE SKETCH ATTACHED - � <br /> � <br />