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:�verelt <br />� <br />City oi Everett <br />Enpineering Depsrtment <br />Sewer Application and Permit <br />NO. l _'i_ ���. ��.J �_� DATE ' <br />; _!�' , <br />r <br />Service Address " -`-'"� ' — <br />7/-, l��t <br />Billing Address � � r i <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By ' <br />.� s���G' <br />/ �.G��iq—S~ <br />�,— 3— 7� <br />/��� <br />Utility Account No. <br />Connection Permit f <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <br />Phone <br />DESCRIPTION: Sewer District <br />Lot <br />Block <br />Monthly Sewer Service. <br />Division or Addition Monthly Sewer Constr. <br />Tvnn Pormit• � . - .- <br />SEESKETCH ATTACHED <br />� <br />! Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry EnBineer <br />Issued <br />Inspection By <br />Date Inspected <br />NO. '�"1 �n(� <br />ft. <br />