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� evcreC <br /> �� <br /> City of Everett <br /> En�ineering Department <br /> i�� <br /> Sewer� A,�apli��tsAn and Permit� <br /> N0. DATE <br /> ; <br /> Service Address__ _ Utility Account No. <br /> Billing Address_ Connection Permit Fee <br /> City, State, Zip %��'- <br /> Connection Fee�'q'�'�rt <br /> Owner (Mortgagor) _ Total Fee <br /> Billing Narr�e <br /> Connection By <br /> Adoress <br /> Signed <br /> Phone c����om<< <br /> DESCRIPTION: � <br /> SPwer �istrict <br /> Lot._ — <br /> Biock ivionthly 5ewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit• Trunk <br /> Remarks� " Lateral ,z , `J$� _ <br /> y ri�•. <br /> .ss /�-�r' S�Yc'�c-s,�, <br /> Abutting Lot Line <br /> — N, S, E, W ft. <br /> �� E� � � 1 � 65 �: , I <br /> - �, � <br /> Approvzd By_. <br /> Cny En9mcer — <br /> issued 13y <br /> Inspection By /� l�� ,:���.�,_,�'� <br /> � � .> <br /> 3 Datelnspected 5= 2-� �s-_ <br /> cr` o�.�r..., <br /> ��.� i�.rt ATTACHED <br /> f40. <br /> � <br /> � <br /> � <br />