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everett <br />� ��� <br />City of Everett <br />E ' ' � t t <br />, <br />l ) /,� � e � l ��2 i! � �� <br />� ..;i . ;Ji,r.� <br />ngmeennu epar men � <br />P <br />Sev�rer Application and Permit' <br />N0. '-; � '� DATE <br />L O � L 1 <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Biliing Name <br />Connection By <br />� <br />Address J � � � — / c� <br />Phone <br />z.s'�� -yo8l <br />DESCRIPTION: <br />Lot <br />81ock <br />Division or Addition <br />'T"vna Pr�mit: <br />Utility Account No. <br />Connection Permit Fee <br />Connection Fee <br />Total Fee <br />Signed <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />ft. <br />Approved By_ — <br />City Engineet <br />t ssued <br />�:� � i <br />;� <br />D '� !'._.�, i .._ 1 l �, <br />�?:_� � �„n <br />.:�':,, . ,�; <br />Ins'ection By , �, - <br />Datelnspected <br />CIT'�'-.k+,��,_:'=r '"TT <br />N0. ���-� , , �, , _. <br />