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everett � ` , � <br />, � � � , � ; <br />, � ,�� � �, 5 <br />� _� ` � `I - � 1 �' '�� � I � <br />� i' ; <br />c_ <br />City of Everett <br />F.ngineering Oepascment <br />Sewer Appl��ation and Permit <br />NO. 2O I i 9 DATE ' ' <br />�— ST raT i_ <br />�-- Utility Account No. <br />Service AddressJ—`=— <br />; , ,.— Connection Permit I <br />Billing Address <br />, , Connection Fee_ <br />City, State, Zip � <br />Total Fee <br />pwner (Mortgagor)._� <br />8illing Name <br />t on BY i'.: . : <br />Connec i <br />; ;.�. <br />-; , Signed c„stom« <br />Address__ `—=— <br />� <br />DESCRIPTION: <br />Block__—�- <br />Division or Addition <br />Sewer District�— <br />--- <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />4butting Lat Line <br />N, S, E, W <br />Q�pfOVCd BY �i�� Engineer <br />Issued <br />n,�./i-'�.�. � �'_��--= <br />Inspection B��—y---`—`— ,; <br />Date Inspected � -�� �y <br />NO. � r' <br />,'' ' <br />O <br />