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� <br /> ev�rett =;� � � �� <br /> e - ��� � � � - - - � <br /> �.� . � /`���s- �, -� <br /> ,--f.� �.%% <br /> City of Everett � � <br /> Engineering Department <br /> Sewer Application and Perenit <br /> rvo. 20968 DATE <br /> Service Address ' _ Utility Account No. _ <br /> Billing Address . Connection Permit Fee <br /> City, State, 2ip , r • . !� � -- ' Connection Fee <br /> Owner (Mortgagor) '' � � Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Cusromcr <br /> Phone <br /> DESCRIPTION: Sewer District — <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk . <br /> Type Permit: <br /> Lateral <br /> Nemarks: <br /> Abutting Lot Line <br /> N g E Nr ft. <br /> n <br /> Approved By_ <br /> � Ciry Enginecr � <br /> " , .. Issued By <br /> Inspection By — <br /> Datelnspected <br /> v <br /> SEE SKETCH ATTACHED Na ^ " �� � `� <br />