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evePett <br />� <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />��� �i � =< <br />N0. �_ %' � <br />Service Add <br />Billing Addr <br />City, State, <br />Owner (Moi <br />Billing Nam <br />Connection <br />Address_ <br />Phone <br />DESCRIPTIO : <br />Lot � <br />Block._,� 3 <br />Division or Addition <br />Tvne Permit: <br />DATE <br />��o S i �r .O <br />-3 -- z S' �' <br />-z,���6 <br />.�� C /� <br />Utility Account Ivo._ <br />Connection Permit Fee <br />Conrection Fee <br />Total Fee <br />Signed_ <br />Customer <br />Sewer District <br />Ulonthly Se��er Service <br />Monthly Sewer Constr. <br />Trunk <br />SEE S�;E"1'CH ATTACHED <br />Laterai <br />Abutting Let Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />! ssu ed <br />� " , �� ��, �j <br />.,� �`��-r•C�<>/�% <br />Inspection By - <br />Date Inspected� 9��� - <br />NO. ��� �- � <br />