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everett I - '�-7� <br /> � _ , <br /> City ot Everett <br /> Engineering Oepartment �`-` <br /> Sewer Application and Permit <br /> N0. Z i_ .�_� � DATE <br /> Service Address _ Utility Account No. — <br /> Billing Address Connection Permit Fee <br /> City,State, Zip _ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Biiling Name <br /> Connection By <br /> A�dress Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service_-- <br /> Block_ <br /> Division or Addition Monthly Sewer Constr. <br /> T�unk <br /> Type Permit: � := ,., : ' .. <br /> , . Lateral <br /> - • ' - � _ <br /> Remarks: -_ ��� � " Abutting Lot Line <br /> � N, S, E, W fr, <br /> Approved By <br /> Ciry Enpineer <br /> — Issued By — <br /> Inspection By— <br /> Datelnspected._ <br /> a <br /> SEE SKETCH A7TACHED N�• � .l �- ` �� <br />