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everett <br />e <br />City of Everett <br />Engineering Uepartment <br />Sewer A�aplication and Permit <br />NO. �� �. �� -' ._ OATE <br />Service Address _ Utilitv A�count No. <br />Billing Address Connectior. Permit Fee __ <br />City, State, 2ip Connection Fee___ . — <br />Owner (Mortgagor) Total Fee _ <br />Billing IJame <br />Connection By <br />Address Signed <br />Customer <br />DESCRIPTION: <br />Lot <br />Division or Addition_ <br />Type Permit: <br />Remarks: <br />� <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service. <br />A4onthly Sewer Constr. <br />Trunk <br />Abutting Lot Line . <br />N, S, E, W <br />Approved By_ _ _ <br />Ciry Engineer <br />�:aU@d <br />. � � <br />Inspection 3y C�=�;� ��'�'"7'i"`�`'`�� <br />Datelnspected �� �v-%� __ <br />n <br />N0. 7� �l�i! <br />� <br />