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evereK �� � � <br /> � ,� - l8 - z-�`-` <br /> City of Everett / <br /> Engineering Department �'�� ^ i. <br /> Sewer Applicc�tion and Fermit <br /> PJO. 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 /> Biiling Name <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block_ <br /> Monthly Sewer Service_ _ <br /> Division or Addition _Monthly Sewer Canstr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: s L �`- , <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> — Approved By <br /> City Engineer <br /> ISSUBCI By <br /> Inspection By_�% T <br /> Dateinspected — — � <br /> 0 <br /> SEE SKETCH ATTACHED NO. `' � �� I . <br />