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eyeren �� / <br />� ����/��� <br />ti� `� �L�/ � .�,/ / S <br />/ <br />City of Everett <br />Engineering Department <br />Sewer Applica�ion and Permit <br />No. 20761 <br />Service Address_ <br />8illing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />Phor,e_ <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Additian <br />DATE _ <br />Type Permit: , <br />-� �8 f�yb �O <br />Utility Account No. <br />Connec:ion Permit Fee <br />Connection Fee � <br />Totai ree_ <br />Signed <br />Customer <br />SEt SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot �ine <br />N, S, E, W <br />Approved By <br />City Engincer <br />I SSU C(I <br />Inspection By— /l C <br />)ate Inspected_ /�/�7 � <br />� <br />NO. nn �!.' <br />