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evcretl <br />� �� � �, , � ,� <br />_ � �, Q �//o/�- 1 <br />City of Everett <br />Engineering Depariment <br />S�wer Application and Permit <br />N0. � I �, ��, , DATE <br />Service Address <br />Biiling Adrress. <br />Ci;y, State, Zip__ <br />Owner IMortyagor�_ <br />Billing fVame_ <br />Connection By_ <br />Hddress_ <br />Phnne <br />DESCHIPTION: <br />Lot _. <br />Block__ <br />�ivision or Addition <br />Type Permit: <br />f;emarks: ., �� �..- <br />Utiiity Account No._ <br />Connection Permit Fee <br />Connection Fce <br />lnt,il f, <br />iqi �•J <br />ti[F SI(FTClI ATTAf,HED <br />� .� <br />5<�vi�i Di�_�n�rt <br />Monthly Sewer Servic�• <br />Monthly Sewer Constr <br />Trunk__ <br />Lateral <br />Abutting Lot �ine <br />N, 5, E, W_ <br />i <br />APpn�� <br />Issued L'� <br />Inspectiun By�i c ' , . _ , . , C ;' <br />,. . �. <br />Date I nspected___ __ s �'zi1 /; <br />� — <br />