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everen _ � �� � <br /> � �� .� :� — : ; <br /> lt/. . � .- � ��� ��/ _� ! 7;' <br /> I� _ <br /> City of Everett � <br /> Engineering Department <br /> Sewer Application and Permit <br /> 33587 <br /> Na� 2 0 6 7 4 DATE L <br /> Service Address Utility Account No. <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 /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District� <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Canstr. <br /> Type Permir. Trunk _ <br /> Lateral <br /> Remarks: <br /> , Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engincer <br /> Issued By __ <br /> _ Inspection By " C � � 1 Gl�•J <br /> a Date Inspected�( ��`� <br /> SEE SKETCH ATTACHED Np. �� i c� -: <br />