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everett <br /> , � . , , <br /> � � r— � _�� <br /> / � �^� r <br /> � • <br /> City of Everett <br /> Engineering Departmeot <br /> Sewer Application and Permit <br /> v0. ': . I , DATE — <br /> Se;vice Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name — <br /> Con�ection By <br /> Address Signed <br /> Customer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block _ <br /> Division or Addition_ Month'•i Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> — —� Lateral <br /> Remarks: .qbutting Lot Line <br /> � ` ft. <br /> , � N, S, E, W — <br /> L,� �— a/7.r <br /> Approved By <br /> City Enpineer <br /> — Issued By <br /> Inspection By <br /> Datelnspected -- <br /> a <br /> SEE SKETCH ATTACHED N0. <br />