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eti,.reff• � <br /> e _ .J r.� _. <br /> 1.F <br /> E.o ,; ,,F--._. ? �. �, <br /> ,� <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> N0. . . DATE <br /> Service Address Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, Stai., Zip <br /> Connection Fee ' <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address _ Sigr,,;d_ <br /> PhOne ' Cusiomcr <br /> DESCRIPTION: Sewer Cisrrict <br /> Lot — <br /> Block Monthly Sewer Service <br /> pivision cr Addition _ Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abuttmg Lot Line <br /> ��j��i c il/ �ni� �� N, S, E, W <br /> ft. <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> Inspection By <br /> e— Date Inspected <br /> SEE SKETCH ATTqCHED N� r; __ ;� ,� �. <br />