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t <br />eyereii � ,, <br />City of Everett <br />E " B <br />ngmeenny epartment I <br />Sewer Applicatiola and Permit <br />NO. 21062 <br />Service Address__ <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor)__ <br />Billing Name <br />Connection By _ <br />Address -- <br />Phone — <br />DESCRIPTION: <br />Lot <br />Division or Addition_ <br />Type. Permit: <br />PATE <br />Remarks: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Utility Account No. <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Signed_ <br />Customer <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />/approved By.L _ <br />City Engineer <br />Issued By_ <br />Inspection By <br />Date Inspected =� <br />NO. 21062. <br />