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everett <br />� <br />City u( Everett <br />Engineering Department <br />( <br />. � � / <br />� �� � �� <br />; � <br />. ,� <br />� <br />Sewer �►pplication �nd Perrr�it � <br />Na �'_0856 DATE <br />Service Address . <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot — <br />Block — <br />Division or /dddi?ion <br />Tvae Permit: <br />Utility Account No <br />Connection Permit <br />Connection Fee_ <br />Total Fee_____ <br />Signed <br />ge�,rFr District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk _ <br />SEESKETCH ATTACHED <br />Abutting Lot Line <br />N,S,E,1N. <br />Approved 9y <br />Crty Er.ginecr <br />�iSIIC!� QY'_ -_--' <br />ft. <br />Inspection 8y ---- <br />Datelnspected --- <br />N0. �nr <br />