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evel ell <br />� <br />City of Everett <br />Engineering Department <br />Sewer Applicatior� and Permit <br />N0. � (� � (� ��� DATE <br />Service Address �%�'� 1�/.F�/-,i .1L �� Utility Account No.. <br />Billing Address Connection Permit F <br />City, State, Zip Conn�ction Fee_ <br />Owner (Mortgagor) Total Fce <br />Billing Name <br />Connection By <br />Address Signed _ <br />DESCRIPTION: <br />Lot <br />Block_ <br />Division or Addition <br />Type Permit: <br />� <br />Remarks: <br />, _ <br />9 <br />c���,o�„�. <br />Sewer D�strict_ <br />Monthly Sewer Service _ <br />Monthly Sewer Constr. <br />Trunk _ _____ <br />Lateral <br />Abutting Lot Line <br />N, °, E, lN <br />Approved BY—,------_ <br />Ciry En9�neer <br />— i Issued By <br />I <br />1lnspection 6Y-- <br />----_ - -- - � D2telnspected_ <br />SEE SI<ETCH ATTACHED <br />N0. <br />tt. <br />