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oyo �w <br />I . <br />I� <br />City of Everett <br />Engineering �epartment <br />Sewer App�iicatimn an�,� Peo•mit <br />N0. - _ _ , . DATE <br />Service Address_. <br />Billing Address <br />City, State, Zip_ <br />Owner (Mortgagor)_ <br />Billing Name <br />Connection Bv-- <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Type Permit: <br />Utility Account No.. <br />Connection Permit 'r <br />Connection Fee_ <br />Total Fee <br />�%'cs y-y- �. - .: <br />,� �,' <br />7-`3`�- <br />r:: .r , <br />Signed___ <br />Custamer <br />SEE SKETCH ATTACHED <br />Sevu'er D�strict <br />Nlonthly Sewer Service. <br />Monthly Sewer Constr. <br />Tnink_ __ <br />Abutting Lot Line <br />N, S, �, W <br />Approved By <br />Ciry Engineer ' <br />Issued <br />!nspection By—Z,�� <br />Date Inspected �-/� - .� <br />n r'� <br />NO. �_ ,'.;!: <br />- _ - - - - �'� <br />