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� <br /> a <br /> everett_ - <br /> � ip - �s _ <br /> - >,� - :a-5 <br /> ,.- <br /> City of Everett <br /> Enpineerinp Department ��� <br /> � <br /> Sewer Application and Permit <br /> N0. l ! _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 /> Billing Name <br /> Connection By <br /> F.ddress Signed <br /> Cu�tomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ � <br /> Block • 1732 Monthly Sewer Service <br /> Division or Addition Monthly Sewer Canstr. <br /> Type Permit: Trunk <br /> ' " - " Lateral <br /> Remerks: - . ;.�,.. , ._ r,. <br /> . „ , ,_ , . , — Abutting Lot Line <br /> N, S, E, W ft. <br /> `..� <br /> /�;- !=� ��. /�r ' r - .;�,� ' � <br /> �- � r Approved By <br /> ' Ciry Enpineer <br /> /. • Issued By <br /> � � <br /> Inspection By _ <br /> a ___.J Datelnspected _ <br /> SEE SKETCH ATTACHF_p N0. 2 _l � 7I <br /> ,.�, � _ , . <br /> t <br /> • - <br />