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everttt <br />e <br />City of Everett <br />Engineering Department <br />Sewer Application ,Application and Permit <br />NO. 71-40 0 4 DATE <br />Service Address �� d %'�'f (ryti��/% :'i/; v�,!' <br />Utility Acco <br />Billing Address — `r /t� Connection Permit Feey' <br />City, State, Zip ,c " ! r 6VIIJ11 (�1�:�%`Connection Fee /VD /?'/ef <br />Owner (Mortgagor)_ I y ') fCSCJ,f��/ Total Fee <�' n <� <br />Connection By <br />Address <br />Phone f AM <br />DESCRIPTION: <br />Lot <br />Division or Addition. <br />Signed <br />Customer <br />Remarks: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. % <br />Approved By /,, `!f�G <br />City Engineer <br />Issued By <br />Connection <br />Inspection By L <br />Date Inspected 7 <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. % <br />Approved By /,, `!f�G <br />City Engineer <br />Issued By <br />Connection <br />Inspection By L <br />Date Inspected 7 <br />