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evereft /�� � i `= � <br /> � � � , � a_ �, <br /> ,. <br /> City of Everett <br /> Engineering Department <br /> Sewer Application an� PQrmit <br /> NO. �_ QATE <br /> Service Address ._ Utility Account No. <br /> Billing Address Connection Perr�iit Fee <br /> City, State, 2ip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> 8illing Name_ <br /> Connection By <br /> Signed <br /> Addf855 Customer <br /> Phona <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service — <br /> Block <br /> Division or Addition _Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> — Lateral <br /> Remarks: � Abutting Lot Lim� <br /> , N, S, E, W ft. <br /> �' , • <br /> Npproved By <br /> City Engincer <br /> Issued By <br /> Inspection By <br /> Date Inspected <br /> a • <br /> SEE SKETCN ATTACHED N0. I �' <br />