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evemfl <br />� <br />City of Everett <br />Engineering Oepartment <br />� � J :� C� � . <br />, � ` �� G. <br />�/,�i�� /_ , � <br />_ �, ,� <br />Sewer l�p�.�lication and Permit <br />N0. ��(�j�� DATE <br />Service P.ddress <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 Addition <br />Tyue Permit: <br />Utility Account No <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Signed <br />CvVomer <br />S[E SI<FTCH ATTACHED <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />Approved By 'l <br />Ciry Engineer <br />ISSU@d <br />Inspection By �''� <br />Date Inspected �/-I1�"7� <br />i� <br />NO' "1162E <br />