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evere:i <br />e <br />City of Everett <br />Engineering Departmen[ <br />Sewer Application and Permit <br />NO. ,. . �'_' ' DATE <br />y �G' .. ,. . . . . <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 />Block <br />Division or Addition <br />/ � �s-� �=� <br />� / <br />� ��_Z�_�. <br />� _ 3 - �r <br />� �- ��1r'. <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee <br />Signed <br />Se�ver District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />4butting Lot Line <br />N, S, E, W, <br />Approved <br />Issued <br />Engineer <br />Inspection By <br />Date Inspected <br />N0. ,; � ,�n � <br />�� <br />