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everetl <br />.� <br />City of Everett <br />Engineering Department <br />� „v,_ L� //�?. '�� ,��/ <br />� Cq � 3' <br />�ll I ,. � <br />5ev�er Application and Perrnit <br />NO. �-.� ? �` 9 DATE ' - <br />,/ �/ �UrYc�tc=E.R/ �^Y <br />Service Address 9`��% Utility Account No <br />Billing Address Connection Permit <br />City, State, Zip - Connection Fee__ <br />Owner (Mortgagor) _ Total Fee <br />Billing \�ame <br />Connection By <br />i, _ - - <br />2/ i 5 �� <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition_ <br />Rem2rks: <br />Sign <br />���i— — <br />� •, iQC �'5�����.-� _ <br />J <br />SEESKETCH ATTACHED <br />IJ!iPGCTION <br />Sewer District <br />Monthiy Sewer Service <br />Monthly Sewe� Cor�str <br />Approvecl BY— — <br />c�iv <br />Issued By <br />Connection By <br />Inspection By �%� <br />Date Inspected ��?��7 3 <br />