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. --j � �-_ _ _ � <br /> everett � /" �.;� �--- <br /> , � :_ ..�.'�%_..-: , <br /> � ----- <br /> /�'��— � '''��� <br /> Ciry ef Everett <br /> Engineering Department <br /> Sew�r ApplicAtion aa�d Permit <br /> N0. �'. �_ �! '.' ,' DATE <br /> Service Address Utility Account No. <br /> Billing Address Conneciion Permit Fee <br /> City, State, Zip_ __ Connection Fee _ <br /> Owner (Mortgagorj __ T�tal Fee _ <br /> Billing Name _ <br /> Connection By <br /> Address ;;igned <br /> Customer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service _ _ <br /> Division or Addition Monthly Sewer Constr. <br /> l'ype Permit: Trunk_ __ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W_ __ ft. <br /> Approved By ___ <br /> City Engineir <br /> Issued By _ <br /> Inspection By�� � +-�:� 1�—� <br /> � __ Date Inspected C��—_� <br /> �-- <br /> SEE SKETCH ATTACHED NO. `' � �` ` ,� ' <br />