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� eyer`2tf � �� _ �l `� - �? �� <br />' �t>�?� <br />e � � �' � c� �-' , . �,. <br />City of Everett <br />Engineering Department �� <br />\ <br />Sewer Application and Permit <br />No. 2 ��063 <br />Service Addres: <br />Billing Address <br />City, State, ZiF <br />Owner (Mortge <br />Biiling Name_ <br />Connection By <br />DESCRIPTION: <br />Lot <br />Division or <br />Tvne Permit: <br />DATE <br />Utility Account No.. <br />Connection Permit F <br />Connection Fec_ <br />Total Fee <br />Signed <br />Cusmmer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_ <br />Ciry Enginccr <br />Issued <br />Inspection By � � " ! <br />Date Inspected � � � �-', � � ' ` — <br />NO. "<rii�' <br />