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•evereit i— .__ ,> — �� — <br /> e _ _ _ _ ,.,.,. <br /> � Z � �; � �1 <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> ;3 :i 9 �)4 <br /> NO. �� 91g DATE ` � <br /> Service Address Utility Account No. <br /> Billing.4ddress Connection Permit Fee — <br /> City, State, Zip ' ' Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Ciilling Name <br /> Connection By <br /> Address_ _ Signed_ <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District — <br /> Lot_ Monthiy Sewer Service <br /> 31uck <br /> Division or Addition _ Monthly Sewer Constr. j <br /> _ Trunk � <br /> — �� <br /> Type PermiL• : � � <br /> -- Lateral <br /> Remarks: �" �o -�, • .� ,q•'> <�, % �T�'Y• Abutting Lot Line _ � <br /> N, S, E f N11 �-� _ ft. <br /> Approved By_ <br /> City Engineer <br /> — ' Issued By <br /> i1 G�';. � , <br /> Inspectian By /u % . =,�_' Z� <br /> _ _ Date Inspected�T,�/�s <br /> � <br /> SEE SKETCH ATTACHED N0. <br />