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eve�ettl- <br />CiTy oF Everett <br />Engineering Department <br />Sev�er �►pplieatonn and Permit <br />N0. <br />Service <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mor:gago <br />Billing Name� <br />Connection By_ <br />� <br />DESCRIPTION: <br />Loi _ <br />Block <br />Division or Addition <br />Type Permit: <br />DATE <br />. � r� .�. ; - <br />� � - <br />,�, . <br />� <br />Utility Account Nu. <br />Connection Permit I <br />Connection Fee <br />Total Fee <br />Signed <br />Cus�omer <br />SEE SKETCH ATTACHED <br />Sev��er District <br />Monthly Sewer Service <br />PAonthly Sewer Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry Engin�cr <br />Issued B <br />Inspection By___�. � <br />�ate Ir.spected � "'�.r ',7 <br />N0. <br />