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everett �=-,: ; � . ' <br /> � � �� ,. ._ l � <br /> City of Everett I <br /> Engineering Department <br /> Sewer ,Application and R�rmi� <br /> NO. DATE _ r-., , <br /> Service Address Utility Account No. <br /> Billing Address Cannection i�ermit Fee <br /> City, State, 2ip _ Cornection Fee � <br /> Owner �Mortgagor) rotr,l Fee <br /> Billing Name <br /> Connection By <br /> Address _ Signed <br /> c�„�om�� <br /> Phone <br /> DESCRIPTION: Sewer District. _____ <br /> Lot — <br /> Block Monthly Sewer Ser�ice_ <br /> Division or Additio.� Monthly Sewer Con;tr. <br /> Type Permit: Trunk__ <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> �7-�u� � ,a{� 2,.�-t'..-GL�cd C.�z� � N, S, E, W <br /> „ !� — ft. <br /> ��*����; -` •_. ,�/G,,� <br /> r ��_. <br /> ��f� � � � Approved BY-- <br /> C�ry Engineer <br /> !c_iF��� �� �'I <br /> i55��d ay_ <br /> _. _ Inspection By <br /> o - — Gate Inspected <br /> SE[ SKE'iCH AITACHED N0. �" <br />