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everett <br />� <br />City of Everett <br />Engineering Oepartment <br />J . -' ' �" i � <br />, _ �,,. <br />�_) � � � � .% <br />/,� I.i� �i. .� �� ,:\ .i <br />,/��i �, ,C- <br />Y <br />Sewer App�lication and Permit <br />No. 20665 DATE <br />Service Address (�/ <br />Billing Address <br />City, State, Zip • <br />Ov�mer (Mortgagor)_ <br />Biiling Nam; <br />Connection By _ <br />Address <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition_ <br />Utility Account No._ <br />Connection Permit Fee <br />Connection Fee <br />Total Fee <br />Signed <br />Cuvomer <br />SEESKETCH ATTqCHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Se�ver Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Cngmeer <br />Issued B <br />nspection By�� � <br />late I nspected_ �/�O/� `� <br />NO. �(�����,- <br />�_ ._ n �> `� <br />