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-everett . <br /> � ����� � <br /> � /,�� <br /> City of Everett 2�7 � <br /> Engineering Department � /�� , <br /> Sewer Application and Permit <br /> N0. _ ��_ r: �� �' DATE � _ <br /> i <br /> Service Address L 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 /> Address , Signed <br /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service_ <br /> Division or Addition_ Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> —_� �- , ,. , :•� . � � i N, S, E, W. ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By <br /> Date Inspected <br /> e <br /> SEE SKETCH ATTACHED N0. `� �_ `� n �' <br /> _ ; <br />