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. <br />� <br /> everett " <br /> � I <br /> , <br /> City of Everet: �- � � _ <br /> Engineering Department <br /> �1 j... .r � ..� <br /> S�wer �0.�►plication and Perrr�it <br /> N0. __ _ DATE _ <br /> Sei oice Address�/��,��� -- Utility Account No. _ <br /> Bi:�ing Address ____ Connection Fe�mit Fee — <br />� City, State, Zip Connection Fee <br />�- Owner (Morrgagor) To'�al Fee <br /> i <br />� Billing Name <br /> Connection By <br /> Address Signed _ <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District_ <br /> Lot�.�gy���-3�_ <br /> Block_(,:�lL� Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By_ <br /> City Engineer <br /> Issued By — <br /> Inspection By <br /> Date Inspected_ <br /> 3 <br /> SEE SKETCH ATTACHED NO. `' I ` , ;; <br /> � <br /> , <br /> � <br />