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everett <br />� <br />City of Ever-:tt <br />�ngiueering Department <br />Sewer �►p�lication and Perr�r�it <br />N 0. r.. . <br />Service Address__ <br />Billing Address__ <br />Ciry, State, Zip _ <br />Owner (hlortgagor�___ <br />Qilling fVame __� <br />Co�nection By______ <br />?hone — <br />DESCRIPTION: <br />Lot_ <br />Divisir,n or AddiNon <br />Type Perrnit: <br />Remarks: <br />DATE <br />Utiiity Account No._ <br />Connection Permit F <br />Connection Fee_ <br />Total Fee _ <br />Signed__ _ � <br />. - � Custom^r � <br />N <br />Sewer Distrtct _ — <br />Mor�thly Sewer Service_ <br />Non!f�ly Sewer Constr. <br />Trunl� <br />Lateral _ _ <br />�.e /Yi/''.�c.Cr'dL _ <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By __ <br />City Engineer <br />I SSU B.'I <br />Inspection 3y "" '"���r�"'`-O""� <br />Date Inspected_��y 7 <br />N0. ;_' _I � � � <br />