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i <br /> ev�-ett ,;: <br /> � ;,; .� -�%1 , <br /> . � � y , (/ <br /> fJ� <br /> t � ��� <br /> G;ty of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit .> � � .� � <br /> N0. �� j) _ ,.� �? DATE <br /> � � <br /> Service Address �UE Utility Account No! <br /> Billing Address <br /> Connection Permit Fee <br /> City,State, Zip �`'�r�� _ Connection Fee <br /> Owner (Niortgagor) � �� — Total Fee <br /> Biuing Name <br /> a.,�.� � <br /> Connection By — <br /> Ad�+ress Signed --- — <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District_ <br /> Lot Monthly Sewer Service — <br /> Block_ <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk — <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> -�-��� � ��G <br /> - y�� a�� n� -- <br /> __� u Approved By—. c��v c�g��,�•„� <br /> ��� �•^'^'�' ' Issued By --- <br /> y ,�? >> . ni <br /> Inspection By `- c` '' ` <br /> — Date I nspected y'� ��lf� <br /> � NO. `' "� � � <br /> SEESKETCH ATTACHED <br />