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evereft �. _:���_ —.' <br /> ; � <br /> � =, `3 I _ �-� -_. -. . <br /> City of Everett , _ 2 7 _ , (` <br /> : <br /> Enpineerinp Oepartment " <br /> . Sewer Application and Permit ����`� �� <br /> N0. DATE <br /> Service Address �Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip Connection Fee <br /> Owner �Mortgagor) "J L �V� ���G(k� Total Fee <br /> Billing Name �/„�� __ <br /> Connection By� L� 1 (� ' <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewc District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Perrnit: <br /> Laterel <br /> Remarks: � �,` „ <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By �' - <br /> Date I nspected �— n - 7� / <br /> a <br /> SEE SKETCH ATTACHED NO. ;'' ' � � <br />