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h <br />evereri <br />e <br />City of Everett <br />Engineering Department <br />;;i . ,� � . . - ,�.. . ;� <br />� - �- - �g <br />� �'� : r�,'.,� <br />Sewer Application Qnd Perrn�it <br />NO. L"_ -�!):� DATE <br />Service Address <br />Billing Address <br />City, State, Zip ' <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />fA <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Divisian or Add <br />Tvpe Permit: <br />Utility Accuunt No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <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 ft. <br />Approved By <br />City Engineer <br />I ssu ed <br />Inspection By <br />Datelnspected —�6 �� <br />N0. % �_ ��i� <br />