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� <br /> F <br />� <br /> everett <br /> .� , . <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicatiorr ar�d Permit <br /> 33582 <br /> No. 2 0 6 7 2 DATE -- <br /> Service Address ' Utility Account No. — <br /> Billing Address _ — Connection Permit Fee <br /> City, State, �ip _ Connection Fee <br /> Owner (Mortgagor�_ . Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed — <br /> cusromer <br /> Phone ' <br /> DESCRIPTION: Sewer District — <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition pAonthly Sewer Constr. <br /> _. Trunk_ <br /> Type Permit: <br /> --- Lateral <br /> Remarks: �,,, 1� � � , �U Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> -- Approved By <br /> City Enginccr <br /> Issued By <br /> �.a.�a��`,J <br /> � � <br /> Inspection By � �� -- <br /> Date I nspected G y �`� <br /> e <br /> SEE SKETCH ATTACHED NO. ^ n r / <br />� <br />