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everett � ` <br /> � <br /> , /y_ , j_ � * a <br /> � > r «`. <br /> Jy�C <br /> , � <br /> ,, <br /> City of Everett " ?A' <br /> M1�,. <br /> Engineering Oepartment }�f- <br /> ��-:.�� � <br /> Sewer Application and Permit <br /> 3zv73 <br /> N0. �d=-� �J 1 DATE - ` _ I <br /> Service Address �� d Z- ' '`� Utility Account No. ' <br /> Billing Address " Connection Permit Fee <br /> City, State, Zip � Connection Fee <br /> Owner (Mortgagor) " - - Total Fee_ �� <br /> Billing Name <br /> Connection By � ' <br /> Address - `- Signed ' <br /> Customer <br /> � <br /> Phone ' ' <br /> DESCRIPTION: <br /> Lot " <br /> Block <br /> Division or Addition ', - I <br /> Sewer District <br /> Monthly Sewer Service " <br /> Remarks: <br /> Monthly Sewer Constr. -- — <br /> �� <br /> ��;....- <br /> J ,?7 j S �� > C <br /> ` 5 " n� % r Approved 6y � , �� <br /> Cdy Engineer <br /> Issued By <br /> Connection By <br /> Inspection By p p��—�---� <br /> _ Datelnspected���7 j <br /> � <br /> SEE SKETCH ATTACHED <br /> iJSPECTION <br />� <br />