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/ ,_� <br /> everett � <br /> e _. ,3 _��_ : <br /> �_ �. :. <br /> City of Everett �' ,� � <br /> , , <br /> Engineering Department " <br /> Sewer Applic�ntian and Permit <br /> N0. C ._ 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 /> Biliing Name — <br /> Connection By_ <br /> Address Signed --- <br /> Customer <br /> Phone - <br /> DESCRIPTION: Sewer District_ <br /> Lot Monthly Sewer Service <br /> Block. <br /> Division er Addition Monthly Sewer Constr. <br /> - Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: �� S �t ��� Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry EnBmeer <br /> Issued By <br /> Inspection By—l.s� <br /> Datelnspected_ '� <br /> 8 <br /> SEE SKETCH ATl'ACNED N�' �l ' <br />