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� <br />everett <br />er <br />City ai Everett <br />E ' ' 0 rt t <br />� . - <br />ngmeenng epa men <br />Sewer Applicatian and Permit <br />No.aoosJ 8��� °;�,e�Q��,�y <br />Service Address_ Ut'I't Account No <br />Billing Address._ <br />City, Statc, Zip_ <br />Owner (Mortgag <br />Billing Name_ <br />Connection By_ <br />Address_ <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Add <br />��y .. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Signed <br />Cusmmer <br />SEESKETCH ATTACHED <br />Ifd ;PFCTION <br />� <br />Sewer District �. � • 2� <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Approved B <br />c�rv <br />Issued <br />Connection By <br />Inspection By 'Y-�'�+� C Q /�Q �e"� <br />Date I nspected '• � �/3 v�j � <br />