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c <br />� <br /> everett <br /> .� , <br /> �� .. .,r. <br /> � ,Yri'. <br /> City of Everett <br /> En�ineering Oepartment <br /> Se�wer Appiication and Permi� 3 � 5 �.j <br /> N0. �'' U �� I �� DATt <br /> Service Address_ _ Utility Account No. <br /> f <br /> Billing Address Connection Permit Fee -- <br />� City, State, Zip Connection Fee <br /> I <br /> Owner (Mortgagor�_ Total Fee <br /> Billing Name <br /> Connection By_ <br /> Address Siyned <br /> c��s�o�,« <br /> Phone —_ <br /> I DESCRIPTION: Sewer Disirict___ <br /> Lot <br /> Monthly Sewer Service — <br /> Block — <br /> Division or Pddition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Latera I <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W_ ft. <br /> — Approved Fiy — <br /> Gry En9maer <br /> issued By -- I <br /> ��•�� <br /> Inspection By � <br /> _ _ Date Inspected �0�� <br /> � <br /> SEE SKETCti ATTACHED NO. �' I' '� 7 n <br /> — ��I�i�l <br />