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�-� .���� 9 <br />� <br />City of Everett I <br />Engineering �epartment <br />( <br />�a/� � ` _ <br />';;i�r <br />Sewer Application and Permit <br />NO. 2098g DATE <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Con�=ction By� <br />Address <br />Utility Account Nc <br />Connection Permit <br />Connection Fee__ <br />Total Fee <br />Signed --- <br />Cusmmer <br />DESCRIPTION: Sewer District <br />Lot <br />Monthly Sewer Service. <br />Block <br />Division or Addition Monthly.iewerConstr. <br />Tvoe Permit: <br />0 <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N,S,E,W <br />Approved By_ _ <br />eiry Engineer <br />ISSUCd <br />Inspection By <br />Datelnspected �' � � l S <br />NO. .��,��;,�, <br />