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• evei <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 20815 DATE <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor)___ <br />Billing Name <br />Connection Bv_ <br />DESCRIPTION: <br />Lot <br />Utility Account No. S_ V/ / Q� <br />Connection Permit <br />Connection <br />Total Fee_ <br />Signed <br />Sewer <br />Block_ Molithly Sewer Service. <br />Division or Addition..,_,,[ t f /1(!it <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W. <br />'Approved By <br />C-ty Engineer <br />ssued <br />ispection By—zm, i <br />ate Inspected <br />NO. <br />