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tve"rett� : a�''cs. v o,'v L� � fA J— Q—l— �;. <br />• a- <br />�, <br />City of Everett <br />Engineering Departmant <br />Sewer Application anc� Permit <br />N0. _ _ :' �_; _ DATE _ <br />Service Addres5 D _ <br />9illing Addres. <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By _ <br />Phone <br />DESCRI°TION: <br />Lot <br />Block <br />Division or Addition <br />� -7-z°j- 5 <br />�_f� � <br />�.i �. <br />2 - l-Z��- 5 - <br />; -�-;,- ; � <br />s'�� <br />Utility Account No. — <br />Connection Permii Fee <br />Cannection Fee <br />Total Fee _ <br />SEESKETCH ATTACHED <br />'r';SPcC i��, . <br />Sewer Disvict_ <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />Appraved By <br />Ciry Enginecr <br />Issued B <br />Inspection By 7-��� <br />Date Inspected 3 i "� _ <br />^! O. <br />