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eVerQtt <br />" U �.�� /:� �/5 <br />City of Everett <br />l <br />� , <br />'� � ;::,:�� 3- �,/�� <br />Engmeenng Oepartment <br />Sewer Application and Permit <br />No. 20865 DATE <br />.-_ ,� � � , <br />Service Address � � � ,/�' � " ~r 'r`r <br />Billing l,ddress <br />:. ji// <br />, `�.,�. . _ r <br />City, Stats, Zip ' ' ' <br />, <br />/r , ,`;• /!� '.'�' <br />Owner (Mortgagor) ' <br />�,�//'- <br />Billing Name <br />�� ' � <br />Connection By " � " � <br />._� <br />. ,_�Address 'r `'. 'r�-- r'" ' . <br />_. .. . _. _ . / , <br />DESCRIPTION: <br />Lot <br />Block ' � <br />Division or Addition " � "' ' � <br />e <br />Utility Account No. <br />Cannection Permit I <br />Connection Fee_ <br />T�tal Fee <br />Signed <br />Customer <br />Sewer D <br />Monthly Sewer <br />Monthly Sewer Constr. <br />SEE SICETCH ATTACHED <br />, <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_. <br />City Engineer <br />ISSU2CJ BY <br />Inspection By n � ) <br />Datelnspected � �`(, \J <br />NO. <br />