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everett <br />e <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />�; , <br />N0. ( I `' " = DATE <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />DESCRIPTION: <br />Lot <br />E31ock /IQ — 3 � — 2�l — �' <br />Division or Addition <br />T....� Dnrmit• <br />, n <br />%�7 . t,,-,r <br />�; -r, -�>.:r <br />I . <br />� •: ��...77 �o /�����.,�- <br />Utility Account No. <br />Connection i ermit I <br />Connection Fee._ <br />Total Fee <br />Signed <br />a <br />Sewer Dlstnc2 <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk_ _ <br />SEE SKETCH ATTACHED <br />Ir:, � _, �I-�r;.. <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />Ciry EnBinccr <br />ISSUEd <br />Inspection By /v� " L�y`""'�� <br />Date Inspected /�(P <br />N0. `� I_ ", r� ! <br />