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ever� 1 <br />� <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />.,, <br />N0. ��' �_.: i. ,, DATE <br />bervice Adc ress <br />Billing Ad�;ress <br />City, State, Zip <br />Owner (Mortgagor) <br />Biliing Name <br />Connection BY <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Add <br />Type Permit: <br />Utility Account Nc <br />Connection Permit <br />Connection Fee_ <br />Total Fee_ <br />, _ i i% .__.. �i_+ . <br />.; �- 3 .-. � � � <br />:�_ -- !�r ... . : <br />�� � ��, /<""' <br />Signed <br />Cusromcr <br />SEESKETCH ATTACHED <br />_ �,., r,�:: �; <br />: r. _ <br />��. . <br />Sewer District <br />Morc;hly Sewer Service <br />MonU�ly Sewer Conctr. <br />iTL'nk <br />Laterel <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry Engineer <br />Issued B <br />Inspection By � <br />Date Inspected ' � <br />rvo. ?1 ^`':' <br /><. <br />