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� <br />� �_` , <br />' everett <br />I <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer A.�aplicatior� ca�nd P�ranit <br />0 <br />NO. �_ _ `," :; '"i DnTE ; . : - i' i <br />Service Address ' � '' ' � <br />Billing Address <br />%�''i�. ..��'.�' ��' /�� <br />City, State, Zip � %� � '`� ' � = �'� <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />Phone. <br />DESCRIPTION: <br />Lat � Block— <br />f� _, <br />Plat ...�,. _ ,� -ti <br />Unplatted Description <br />r.HARr NC) �-Y"3_ �'�- 'i <br />r= � ��CJ <br />Utility Accour.t No. - ' - ' ` �� � <br />%r <br />��� ' <br />Permit Fee - ._ <br />, ' <br />Connection Charye(s) ' -' `u <br />r,� �•- <br />Total Fee -��� <br />Si <br />Customer <br />Sewer District -'r�-' ' � 7T/ <br />Monthly Sewer Service � � � <br />Monthly Sewer Constr. <br />Tnink -� .-'S <br />Lateral <br />Abutting Lot Linp,� <br />fJ, S, E�N/ �0 ft. <br />Approved By ;,''/_, : , <br />City Enginecr , <br />I ssued <br />Inspection By �'�`"""� <br />Datelnspected_i�/�� <br />NO. - <br />�: �4� �. I <br />IL� -;. ..:�� � ig'� a+�:t+y,. _ <br />