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1 � <br />� <br /> ir <br /> everett �. <br /> �J <br /> City of Everett <br /> Engineering �epartment <br /> Sevver A►pplication �nd Perrnot <br /> NO. _ _ DATE _ <br /> Utility Account No. <br />, Service Address <br /> r Connection Permit Fee --- -- <br /> Billing Address <br /> Gonnection Fee <br /> City, State, Zip <br /> Total Fee <br /> Owner (Mortgagor) <br /> Billing Name --- <br /> ��mnection By <br /> Signed _ — -- <br /> A(�dfC55 - Cusrorr.�r <br />, Phone <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_-- MonthlySewerService ----- <br /> i Block <br /> Division or Addition _Monthly Sewer Constr. <br /> Trunk __— <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot Line ft. <br /> N, S, E, W — <br /> _�J� _ �v,�_i—1-- � <br /> �� <br /> i Approved BY_ c�c�— - <br /> fissued By <br /> ��/, � <br /> ,//.�-' i�'c�:3:"-c.<:..�—-._ <br /> Inspection By_— - <br /> i Date I rspected ��'����� <br /> i <br /> a NO. <br /> SEE SKETCH A'fTACHED <br /> I <br /> � <br /> , <br /> � <br /> � <br /> t � I <br /> i <br />