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�� <br /> everett I 20 • 2� � �/ ��� <br /> e � � ,� <br /> �6s <br /> City�of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit � <br /> , 3 3 sl ;3 '? <br /> , . <br /> NO. `ZOH I � DAl'E ` "' J � <br /> Service Address '� � Utility Account No. — <br /> Billing Address Connection Permit Fee <br /> City,State, Zip ' t '' Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name_ � :�, ', <br /> Connection By <br /> . � <br /> Address � Signed <br /> .; <br /> . ` Customer � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot �-. ' <br /> Monthly Sewer Service <br /> Block <br /> ; : � : <br /> Division or Additio� '- Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ' ' <br /> � F! F <br /> 'i`- _-'_ _ ___... <br /> Lateral <br /> Remarks: /� S'- U -�- <br /> Abutting Lot Line __ ____ __ <br /> N, �, E, W ft. <br /> � <br /> � <br /> Approved By_ � <br /> City Enginccr <br /> — Issued By ' <br /> Inspection By <br /> Datelnspected <br /> 0 <br /> SEE SICETCH ATTACHED N0. � (� � ! <br /> , . -��I�- .. <br />