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._�� . _ <br /> ; <br /> .r`: �. ,. _.. - <br /> eVC�CK ZY L s. Z(� .. ,. <br /> 'r <br /> e ,_ a� € . <br /> � � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> ,� , ', �� �� DATE <br /> NO, L1LJJ <br /> Utility Account No. <br /> $e�vice Address <br /> Connection Permit Fee <br /> Billin� Address <br /> Connection Fee <br /> City, State, Zip <br /> Total Fee <br /> pwner (M�rtgagor) <br /> Billing Name <br /> Connection By <br /> Signed Cusmmer <br /> Address_ <br /> Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot�— Monthly Sewer Service <br /> Block <br /> Monthly Sewer Constr. <br /> Division or Addition <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: � butiing Lot Line ft. <br /> � N, S, E, W <br /> . <br /> � APPfOVP.C� By CitY Engineer <br /> Issued By <br /> Inspection By� <br /> Datelnspected � <br /> a rvo. 21293 <br /> SEE SKETCH ATTACHED <br /> i�,ic(�rC�i�-ii�i <br /> I <br />