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, . _ <br /> l � 4 � / _.� <br /> everett �`� " " ` <br /> e : -�-�:,�: � � �� � <br /> ; <br /> City ot Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> NO. �- i .� � �`: DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip �onnection Fee_ <br /> Owner �Mortgagor) _ Total Fee___ <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> cus�omcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Monthly Sewer Service_ <br /> 31ock <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N g, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> � r <br /> Inspection By �-' '�� � <br /> Date Inspected ���-��7 S" <br /> e <br /> SEE SKETCH ATTACHED N�• i � <br />