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everett <br /> e � � _ ��. <br /> �;�� s�� �� z '. ,`�„� <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit . <br /> ., ., :. ;, � <br /> No. 20GG0 DATE <br /> Service Address Utility Account No. <br /> Billing Address _ Connection Permit Fee <br /> City, State, �ip_ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Biliing Name <br /> Connection By <br /> Address _ Signed <br /> Cusiomer <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: Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> ? ' .$� '�" -f..z <br /> Approved By <br /> Ciry Engineer <br /> ISSUCIj B�� <br /> inspection By ,4'�- <br /> Datelnapected (' 3� 7�/ <br /> a <br /> SEESKETCHATTACHED NO. '' I? `; '' '', <br />