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ev�reh <br /> , ' J <br /> % - , i <br /> � � CS / c_ <br /> �-- /�> - Z- � _-�� <br /> City of Everett � —' � 7 — � � <br /> Enyineering Oepertment ,��� <br /> Sewer Application and Permit <br /> NO. G . r �t DATE <br /> Service Address Utility Account No. <br /> Billing Address Conneciion Permii Fee <br /> City, State, 2ip_ _ _ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name_ <br /> Connection By <br /> .4ddress _ Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remark� � � „ <br /> Abutting Lot Line <br /> N, S. E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By� � <br /> 0 <br /> — Date i nspected � lS- <br /> SEE SKETCH ATTACHED NO. ,= � � ' <br />