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, _ - , <br /> , _ _ ;: .- f <br /> everett - <br /> e . �-. _ . ,_ <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> N0. �' � '� :� � OATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee _ <br /> City, State, Zip Connection Fee <br /> Owner �Mortgagor) Total Fee_ <br /> 8illing Name <br /> Connection By <br /> J <br /> Address Siyned � `� <br /> � � � Cusromer � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Black Monthly Sewer Service <br /> Division ar Addition Monthly Sewer Constr. <br /> Tru nk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> lC.o <br /> Approved By <br /> Ciry Ecgincer <br /> Issued By <br /> Inspection By� /�� ��«'--- <br /> B Date Inspected /?�3/�� <br /> SEE SKETCH ATTACHED NO. ^ ' '� '; i` <br /> i � <br />