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� everetl <br />e <br />City of Everett <br />Engineering Oepartment <br />Sewer Application and Permit <br />N0. . DATE <br />Service Address�/ /i /� � � <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgago <br />Billing Name_ <br />Connection Bv <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee <br />Total Fee <br />Signed_ <br />Customer <br />DESCRIPTION: Sewer District <br />Lot.��,,,�. <br />61ock�-- /� Monthly Sewer Service <br />Division or' Additia�_( G,q��n� p�n i�, Monthly Sewer Constr. <br />Type Permit:!� � <br />Remarks: <br />SEESKETCH ATTACHED <br />Abuiting Lot Line <br />N, S, E, W, <br />Approved By <br />C�ry Engineer <br />Issued B <br />Inspection <br />Datelnspected <br />NO. � � r �: ' <br />