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�%O � ✓� �� <br /> everett <br /> � �J —/��� v �� � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> N0. r_ .! - � � DATE <br /> Service Address Utility Accaunt No. <br />� Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Nanie_ <br /> Connection By <br /> Address Signed <br /> Cusmmer <br /> Phone_ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> — Trunk <br /> Type P�rmit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �, N, S, E, W— ft. <br /> _ f:: <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By_— <br /> _ Datel�spected <br /> e <br /> SEE SKETCH ATTACHED NO. �15 2 � <br /> ;i <br /> � <br />