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� <br /> i <br />� <br /> _ <br /> eve�ett ) �. � ` �J � `• <br /> � ) i ,1 , � / <br /> Y- <br /> City of Everett <br /> Engineering Uepartment <br />. Se�nrer �Oppliea$i�n and Permit 33f� �r :� <br />( �, r � -. -„� DATE � . <br />, <br /> N0. � � � , _ <br />� Service Address Utility Accaunt No._ <br /> Billing Address - Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor� Total Fee <br /> Billinq Name <br /> Connection By _ _ <br /> Address Signed <br /> cus�omcr <br /> Phone — <br /> DESCRIPTION: Sev,�er District_ _ <br /> Lot_ <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permir. <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By_ � <br /> City Enginecr <br /> Issued By_ _ _ <br /> _ I <br /> Inspection By <br /> ;CX'1/ <br /> _ Datelnspected <br /> SEE SKETCH ATTACHED NO. ` - <br />