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V - � i � ; �-- <br /> everett � r' , <br /> e � =� , � �� :, F;,� ,,.� <br /> , <br /> �, � . , , � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and �-'�ermit 3 :�f �s <br /> rvo. 20694 <br /> DATE ' � �. � <br /> Service Address_ " ^ � ' �� " ' ' � '_ Utility Account No. <br /> Billing Address� ' ` Connection Permit Fee <br /> City, State, Zip_ " � '` Connection Fee <br /> ', <br /> Owner (Mortgaoor) ' % ' � Total Fee <br /> Billing Name ' _ <br /> i , . .�,. �'. , <br /> r,. <br /> Connection By '�.�� '' <br /> p_: �:•� . Signed � � '� <br /> AC�df0S5 � Custamer <br /> Phone `� " `" ' � <br /> DESCRIPTION: Sewer District - <br /> Lot_ ^f Monthly Sewer Service " " <br /> Block s ' <br /> DivisionorAddition-'� ' ' ' MonthlySewerConstr. <br /> Trunk <br /> Type Permit: „r; i;:�; � <br /> - Lateral <br /> Remarks: Abutting Lot Line <br /> i' N, S, E, W ft. <br /> C /- ,- ) <br /> , <br /> _ Approved By = <br /> Ciry Engincer <br /> Issued By - — <br /> Inspection By <br /> Date Inspected <br /> 0 <br /> SEE SKETCH ATTACHED N0. �' � G C�' ;'`• � <br /> ,.,� . i:t�. ! it����,i <br />