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everett 6_,- -. , - - - <br /> � / �� s �,.� � <br /> ,,� i ; ;� - , <br /> City of Everett <br /> Enpineering �a�artment <br /> Sewer Application and Permit <br /> , <br /> N0. ' J �J � 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 /> .4ddress ' Signed - ' � ��, <br /> � ,CuftOmer <br /> Phone <br /> i <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition ' Monthly Sewer Constr. <br /> Type Permit: L-w ,_ Trunk <br /> / /U � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engineer <br /> Issued By <br /> inspection By_��/�a<a..� <br /> a Date Inspected__��� 7 7 <br /> SEE SKETCN ATTACHED N0. ;-_ 1 � (; �1 <br /> !PdtiPL"CTf�)i� <br />