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evPr.'' <br />� <br />City of Everett <br />Engineering Department <br />\ <br />� �, L�j- � <br />'��- ; i_.� � ���,�7f�%-` <br />�� <br />�� : <br />�l u �ti'' <br />Sewer Application and Permit <br />NO. n�%Q� DATE <br />Service Address <br />Billing Address_ _ <br />City, State, Zip <br />Owner (Mortgagor) <br />Biiling Name <br />Connection By <br />Utility Account No. <br />Connection Permit f <br />Connection Fee_ <br />Total Fee__ <br />Signed <br />cusmmer <br />Phone__ <br />DESCRIPTION: Sewer District <br />Lot <br />Block Monthly Sewer Service. <br />Division or Addition Monthly Sewer Constr. <br />Tvnn Permit <br />SEE SKETf:Ii ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, 5, E, W <br />Approved By <br />CitV Engincer <br />Issued <br />Inspection By_ �—�- <br />Date lnsoected _� � � <br />N0. <br />