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� �� • i . J �-.n ::: �'� �!' - - -. <br /> everett �._ �' �' �•` <br /> � � � - � � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and i�ermit <br /> ;; -z � w � <br /> No. 20667 DATE <br /> Service Address Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, State, Zip <br /> Connection Fee <br /> Owner (Mortgagor) <br /> Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Cusmr*�er <br /> Phone�-- <br /> DESCRIPTION: <br /> Sewer District <br /> Lot Monthly Sewer Service <br /> Block ' <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk — <br /> Type Permit Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> — Approved By <br /> Ciry Engi�Eet <br /> Issued BY <br /> Inspection By "�' � <br /> � L� �� <br /> Date Inspected <br /> � � N0. "' I l % <br /> ���� SE� SN,'tTCH ATTACHED � <br />