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s <br />everetl <br />e <br />City of Everett <br />Engineering Department <br />Sewer Applicatian and Permit <br />N0. DATE .— <br />� .�` � s�� <br />Service Address���- <br />Billing <br />Utility Account No. <br />Connection Permit <br />Connection <br />City, State, Zip_ <br />pwner (Mortgagor) <br />Total Fee_ <br />Billing Name <br />Connection By <br />DESCRIPTION: <br />Lot <br />Signed <br />Sewer <br />Monthly Sewer <br />Block—_-- <br />Division or Addition Monthly Sewer Constr. <br />Trunk <br />T � Lateral_ <br />SEE SY.ETCH ATTACHED <br />abutting Lot Line <br />N, S, E, W <br />4Pp�OVCd By ��L� Engineer <br />Issued <br />F�� '— <br />/(, ; -' �i .- �-- <br />Inspection By `" <br />Date Inspected �/� �'�� 7 --- <br />NO. <br />