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everett <br /> � � 7 <br /> �,� (�.. <br /> City of Everett <br /> Enyineering Depurtment <br /> Sewer Application and Permit <br /> N0. '� ��,1 1 � � ^_:� DATE I <br /> , _ <br /> Service Address__ Utility Accou�t No. <br /> Billing Address _ _ Connection Permit Fee <br /> City,State, 2ip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billin� Name <br /> Connection By <br /> Address Signed _ <br /> CustOmer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot��Q Monthly Sewer Service <br /> Block� <br /> Division or Addition_ Monthly Sewer Constr. <br /> Trunk <br /> fype Permit: <br /> Later3l <br /> Remarks: tu«Fn e� r«cr•�y�.��c s�����- ,v� �-s.. <br /> � , 'Abutting Lot Line <br /> N, S, E, �N ft. <br /> - — �� <br /> � ,,._ <br /> ,�-.- --_5; - <br /> Approved By_ <br /> '�Z�G�� Ciry Engineer <br /> - T" Issued By <br /> C°cM�lET�/) ' z s/91.- <br /> �j , <br /> %� i/ <br /> Inspectian By !� � �� <br /> __ Date I nspected -/ - - / 7 3 1�, <br /> 1 '��G. <br /> SEE SKETCH ATTACHED N0. ��' � � '� �j <br />