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evere� <br />� <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />N 0. r: -�. - �- — <br />Service Address_ <br />Billing Address_ <br />City, Stata, Zip._ <br />Owner (Mortgagor) <br />Billing Na <br />Cunnection <br />DESCRIP ION: <br />Lot <br />Biock <br />Division or Addition <br />DATE _ �U �n��� <br />Utiiity Account No. <br />Connection Permit I <br />Cannection Fee_ <br />Total Fee <br />Signed <br />Cu;tomer <br />Sewer District___,? ��, t.n� <br />SEESKETCH ATTACHED <br />Monthly Sewei Service_�= � <br />Monthly Sewer Constr. <br />Trunk � /C <br />Abutting Lot Line <br />N, S, E, W <br />��-'' �% <br />A roved B �-'" E=. .-i-� . �• <br />Pp Y "~ iry Engineer <br />Issued <br />C <br />inspection By � ��I-�-C—�" <br />Date lnspected �� �''' �� <br />rvo. ? 1 `:. 0 -_' <br />