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. .... . . l � .c..—_:L� � _.;... _:.�. ;.: . . . . <br /> everett � � ��� <br /> e , �� - - - � � <br /> , <br /> , . �- % � :` _! , ; 7� �� <br /> (_� -�-�� '�7 r� _ �� �_�z`-.� � <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> :� 3 ;.�; 5 <br /> N0. 20i� C� 7 DATE <br /> Service Address_� ' - " - ' Utility Account No. ' <br /> Billing Address ' '✓ 'F` Connection Permit Fee <br /> City, State, 'Lip � Connection Fee - <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By_ - <br /> Address__ Signed <br /> Customer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service_ <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: <br /> lrUnk <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> - *- N, S, E, W ft. <br /> -.�. <br /> Approved By <br /> � ' � City 6�ginect <br /> Issued By <br /> Inspection By �5 ������ ����� <br /> 3 Date Ir.spected ' =� _-'�- �� <br /> SEE SKETCH AtTACHED N0. `' ' � ':; ;�, <br />� <br />