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everett <br />e <br />City of Everett <br />Engineering Department <br />�i.� _ � �� _ ZY� _ �;� <br />, <br />; � ri..�����- <br />. / :_�, %;'. <br />Sewer Applica�ion and permit <br />No. ?_OG92 <br />Service Address_ <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor�_ <br />Billing Name_ <br />Connection By <br />Address <br />Phone_ <br />DESCRIPTION: <br />Lot _ <br />Block <br />Division or Addirinn <br />Type Permit: <br />DATE <br />.. <br />Utility Account No._ <br />Connection Permit Fee <br />Conneccion Fee <br />Total Fee � <br />S <br />SEESKETCH ATTACHED <br />us�omer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />4pproved By_ <br />Ciry Engincer <br />ssued Bv <br />"I �) <br />�spection By_ �� <br />ate Inspected �_��7 `� <br />r <br />NO. <br />33621 <br />