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everett - ' <br /> � � • _ � -- _ ` <br /> City of Everett , � � <br /> Enpineerinp Defirtment <br /> Sewer Application and Permit � � � <br /> NO. % 1 �: U �'� DATE <br /> ,���; !� --�= "_;_'1�r <br /> Service Address -�' � =—�+— . ... Utility Account No. <br /> '�. �, .�=�L!G.;c(- , . <br /> Billing Address - - " - — — - Connection Permit Fee. � <br /> City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> cu:tomer <br /> Phone � <br /> DESCRIPTION: — Sewer District <br /> Lot � - /� — . ; . j — <br /> Block Monthly Sewer Service_ <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> ' Lateral <br /> Remarks: <br /> � Abutting Lot Line <br /> — N, S, E, W ft. <br /> Approved By _ <br /> City Enpineer <br /> Issued By <br /> Inspection By <br /> o Date I nspected_ <br /> SEE SKETCH ATTACHED Np, t j � fl " <br />