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everett <br />� I ' r � � ; � <br />1 �— � <br />•; � <br />City of Everett � <br />Engineering Oepartment <br />Sewer Application �nd Permit I <br />NO. �� U i 1�� DATE _ — -- �--- <br />Service Address _ Utility Account No. <br />Billing Address _ Connection Permit Fee_ <br />City, State, Zip Connection Fee <br />Tntol Fnn <br />.....�... �� .,..7..�..., <br />8illing Name <br />Connection Ry <br />Signed <br />cuttomer <br />Phane _ <br />DE�CRIPTION: <br />Lot <br />Block____ <br />Division or Addit <br />Type Permit: <br />Sff ;I<t'TCH ATTACH[D <br />Sewer District _ <br />Monthly Sewer Servi�:c <br />Monthly Sewer Consu <br />Trunk__ <br />Lateral___ <br />Abutling Lot Linc <br />N. 5, I , I�i <br />3:iG65 <br />Aupruvud fiv <br />G�Y Enqmerr <br />� I� ,.,..' �9, <br />i <br />� <br />�II'�.�ri.:i.lr.ill �{Y -� . <br />Date Inspected �� ���/ � / <br />fv7. n-• <br />� <br />