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everQtt <br />� <br />City of Everett <br />Engineering Department <br />. � ' ,:' C. <br />r �� <br />� _> � l� � <br />� n /��� / �.. <br />� ' /� <br />� <br />Sewer Application and Permit <br />N0. 2O%21 DATE ; - �: � : — '-= <br />�. �i , - t . ,•'- i!�L :' ;, <br />Service Address , <br />BillingAddress '. .'��1f <br />Utility Account <br />Connection Permit F <br />'� %`�"'� � Connection F <br />Cit , State, Zip _� / , i7c�'r ( ;i : f " � !f <br />Y <br />�,��r r, . ': ;;��/,t- !";; [�';+TotalFee._ <br />Owner (Mortgagor)_ � , <br />Billing Name � . �- • ;^`'' = L /�� �< J�:l (l <br />'� �' l f- - �C�/-� S'fl /) <br />i"� L _ <br />Connectian By <br />` / / <br />, - <br />� ., <br />e <br />i_ <br />Address � � � �` � � r-� � � � � S�g�ed ' Customer <br />Phone ��� � ' ,� <br />DESCRIPTION: <br />Sewer District � - ' <br />Lot ' � Monthly Sewer Service - <br />Block <br />Division or Addition � � �'�`� ,'� � .' '� "� '� � Monthly Sewer Constr. <br />'", _ . <br />SEE SKETCH ATTACHED <br />�➢1SPECTI01`� <br />4butting Lot Line <br />N, S, E, W. <br />i <br />Approved BY Ciry Engineer <br />.- �, <br />Issued BY ' t� r."� <br />Inspection By %n� <br />Date Inspected� /��7 `� <br />No. 20721 <br />