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,. lef:.' . . <br /> everi�t <br /> , 4� � �, . � . <br /> e �� � �. ;�. . �� � r . ; ���: <br /> City of Everett <br /> Engineering Departm���c <br /> Sewer Application and Permit <br /> 335� 5 . <br /> rvo. 2 �� 6 7 8 DATE <br /> Service Address. ' - - � Utility Account No. <br /> ' Billing Address_ _ Connection Permit Fee <br /> City, State, Zip Cornection Fee <br /> Owner (Mortgagor) � " _ � Total Fee <br /> Billing �ame - - <br /> Connection By ' . — <br /> . <br /> Address . ��: � ` _ Signed — <br /> cu:torrer <br /> 1 _ i <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 /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciiy En9incer <br /> Issued By <br /> Inspection By <br /> ,�y' <br /> Date Inspected �' •"� � � <br /> 0 <br /> SEE SKETCH ATTACHED � _ NU• <br />