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everett <br />� <br />City of Everett <br />Engineering Department <br />, )_'��;'��'L���_�-,_ e� �._ <br />� '�� , �= Q g � ���/�. <br />�� <br />Sewer Application and �ermit <br />N0. Z 1 Q�`� DATF. <br />`� � <br />Service Address� � 2� `��' T� �� <br />l3illing Address <br />City, Sta.e, Zip <br />pwner (Mortgagor) <br />Billing Name <br />Connection By_ <br />Phone - <br />DESCRIPTIrN: <br />Biock_._ <br />Division or <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Tota! Fee <br />$19f1Cd Cuswmer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />4butting Lot Line <br />N, S, E, W. <br />AjJjJfOVO(� BY--� ���� Engincer <br />Issued <br />Inspection By_ <br />Date Inspected <br />NO. <br />