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�evereYt <br /> � � <br /> /tr <br /> Ciry of Everett /�/ <br /> Er.gineering Department <br /> Sew�r Application and Perrr�it 11 , <br /> rJO. ''' " �'� Ci, `. DATE _ <br /> �_ � .� ._, � <br /> Service Address Utility Account No. — <br /> Billing Address <br /> Connection Permit Fee <br /> City,State, Zip <br /> - Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Bifling Name <br /> Connection By <br /> Address �;` Signed. — - <br /> Cusmmcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permir. Lateral <br /> Remarks: �5 ��� �r�-Tc'//. Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By_ <br /> — Ciry Enginecr <br /> ' ISSUCt� BY <br /> Inspection By� <br /> Datelnspected - - <br /> u <br /> SEE SKETChI ATTACHED N0. " �. � �� �'� <br />