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everen <br /> � � _ r _ <br /> � . /-� , . .�y � <br /> City of Everett � � <br /> Engineering Department � <br /> Sewer Appiication and Permit <br /> 324F� <br /> N0. .�'� O O � _� '� UATE � <br /> Service Address��3 C�LQ�� 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 /> Phone ---- <br /> DESCRIPTION: <br /> Lot_ <br /> Block <br /> Division or Addition_ ' <br /> Sewer District <br /> Monthly Sewer Service <br /> Remarks: <br /> Monthly Sewer Constr. <br /> QQ�w� �.��(�T�-� � L�-�.�.�. <br /> A Zr � �> <br /> ��.'�..��f, � tr M Approved By <br /> � Ciry EnBineer <br /> Issued By <br /> Connection By <br /> Inspection By ' �-�'�-= <br /> Datelnspected� "�j 3 <br /> ( <br /> � <br /> SEE SKETCH ATTACIiED <br /> i � , ;. <br />� <br />