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everett - <br /> , �-; <br /> � � <br /> \ � <br /> / 1 _ <br /> City of Everett � �� . <br /> Engineering DepartmenV � � � � <br /> I \ <br /> wer A � licatior�� c��n "d Permit <br /> Se pi� __.� � � ._ � . <br /> , � ' <br /> � � �, � � � <br /> N0. ZOG3 � �, DATE <br /> � <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 /> Address Signed <br /> cu:tomer <br /> Phone � <br /> DESCRIPTION: Sewer District ' <br /> Lot <br /> Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk � <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> - Abutting Lot Line <br /> _ _ N, S, E, vJ fL <br /> i <br /> , Approved By — <br /> ' City Engineer � <br /> Issued By <br /> Inspection By <br /> Datelnspected <br /> 0 <br /> SEE SKETCH ATTACHED N�• �% n C 3 9 <br /> � ; , , . <br /> J __r <br />