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everett _ <br />� � • <br />.I <br />City of Everett <br />Enpineering Depertment <br />Sewer Application and Permit <br />NO. �(� g � Q DATE <br />Service Address <br />Billing Address <br />f:ity, State, Zip <br />Owner (Mortgagor) <br />Billing Name � ' <br />Connection Bv <br />Phone � <br />DESCRIPTION: <br />Lot <br />Division or Addition _ _ <br />Tvna Permit <br />Utility Account No. <br />Connection Permit Fee <br />Connection Fee <br />Total Fee <br />E`, <br />a <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr, <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By_, <br />Ciry Enpineer <br />Issued 8y <br />Inspection By � �-� /�C^���° <br />� <br />Datelnspected_ 2 <br />NO. �(I�lil(I <br />