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everen , <br /> e � . _ :a . _ <br /> ;.:. . , <br /> City of Everett I <br /> Engineering Oepnrtmwrt I <br /> Sewer Applicatiun and Permit <br /> Nn DATE <br /> Service Address Utilit�• Account No. <br /> Billing Address Connection Permit Fee � <br /> Crty, State, Zip Connection Fee <br /> Owner (Mortgagor� Total Fee <br /> Billing Name _ <br /> Cu❑ner,tion By <br /> Address Signed_ • <br /> cu:�ome,--- -- — , <br /> ���If)f1B � <br /> . '_____'—___—_ � <br /> UF5CRIPTION: Sewer District <br /> Lot_ <br /> Block_ Monthly Sewer Service _ <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: � <br /> — Abutting Lat Line <br /> - N, S, E, W_ ft. <br /> (� <br /> Approved By <br /> .. ._— __ CitV Enpinen -- <br /> Issued BY--- --- - <br /> ..,.c,.:- --- . <br /> /'t 'L,sYl� <br /> _ -- -- - <br /> Inspection By -�, -/.L <br /> s -- - - - Date l nspected c���7 ,4 <br /> SF� SKETCH ATTACHED ��n <br />