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everett <br />� <br />City of Everett <br />Engineering Depertment <br />Sewer Application a.�d Permit <br />NO. � � _� DATE <br />ServiceAddress '2 �O�o l�u_�6sh,6(i <br />Billing Address_ <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection Bv <br />D[SCRIPTION: <br />Lot �� f � [� <br />Block��++�I <br />Division or Addition <br />Type Permit: <br />Utility Account No._ <br />Connectio� Permit P;e <br />Connection Fee__. <br />Total Fee <br />SEESKETCH ATTACHED <br />Sewer D <br />Monthly Sewer Service _ <br />Monthly Sewer Co�str. <br />L ateral <br />Abutting Lot Line <br />N S,E,W <br />,approved By <br />City EnBineer <br />I SSU CC� <br />Inspection <br />Date Insoe <br />N0. ' <br />