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everett � � <br /> _ ,� I �-rr o c �o �,3 �,,�', <br /> � � � , ' <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit� <br /> NO. 2107]. DATE <br /> Service Address__ ' � Utility Account No. <br /> Billing Address '/ Connection Permit Fee '�� <br /> City, State, Zip ` �� � <br /> � Connection Fee �'� <br /> Owner (Morigagor) Total Fee <br /> Billing Name <br /> , , ; <br /> Connection By � �" - <br /> Address ' �, i! Signed '` <br /> Customer <br /> Phone � <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Monthly Sewer Service <br /> Bior.k <br /> Division or Addition _ _ _ Monthly Sewer Constr. <br /> Trunk ` <br /> Type Permit: <br /> , _ Lateral <br /> Remarks: ,y " �ji�. AS �GP S.YETc <br /> Abutting Lot Line <br /> N� S� E, yy ft. <br /> Approved By_. <br /> Ci'y EnBineer <br /> Issued By — <br /> Inspe.:tion By ��� .n'd� <br /> ✓ <br /> Dat� Inspected� <br /> a <br /> SEE SKETCH ATTACHED ND• <br />