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everetl � � � ' � �1 � <br /> � �.l�,, `�-' ��r� �� : <br /> City of Everett I <br /> Engineering Department <br /> Sewer Applic�tio� and P�rmit <br /> No. 2�98 � DATF <br /> Service Address �j <br /> Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, State, Zip <br /> Cannection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name_ <br /> Connection By <br /> $Igf1Cd Customcr <br /> Address_ <br /> Phone <br /> Sewer District — <br /> DESCRIPTION: <br /> Lot Monthly Sewer Service__ - <br /> Block - <br /> Division ��r Addition Monthly Sewer Constr. <br /> — Trunk_ <br /> Type Permit: <br /> Lateral <br /> Remarks� ��� ��r__��.� �n � f111 Abutting lot Line <br /> N S E W it. <br /> �Ji/�� �'f�'Ir� .Is f'l,c' — <br /> S.YET•/f: <br /> ApPfQVBd BY—. Gry Enginecr <br /> issued BY_.__-- <br /> Inspection By—_��/alLr� -- <br /> Date Inspected��<'-T�9�� — <br /> � NO. � , <br /> SEE SKETCH ATTACHED <br />