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t_ �-�._ � - <br /> evtrett � ._ -�--�_ :,_, <br /> e � � � �� - � � ���' � ,��,�.�(� <br /> City of Everett <br /> Engineeriny Department <br /> Sewer Application and Permit <br /> Na� 210 4 4 DA�;E - <br /> - �j _ Utility Account No. <br /> Servir.� Address - <br /> Connection Permit Fee <br /> Billing Address , - <br /> Connection Fee " <br /> City,State, Zip " ,` � <br /> , �, ; --, � � Total Fee <br /> Owner (Mortgagor) <br /> Billing Name <br /> Connection By — <br /> - Signed <br /> Cuslomer <br /> Address <br /> Phone <br /> Sewer District — <br /> DESCRIPTION: <br /> Lot�---- Monthly Sewer Service <br /> Block — � Monthly Sewer Constr. <br /> Division or Addition <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: �" �., s < SEr Abutting Lot Line ft. <br /> N, 5, E, W <br /> --- <br /> Approved By�_. C�ty Engineer <br /> Issued By <br /> Inspection By <br /> ,//,'�- ���- <br /> — Date Inspected � � �''� <br /> e N0. l I C� �, ���' <br /> SEE SKETCH ATTACHED <br />