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..veretl � ' ,-� ' , -% . _ . , -. <br /> e � �- � _ <br /> "�� C ��� � ��,. <br /> / �` o�����(.� � <br /> City of Everett �� - � <br /> Engineering Department � <br /> Sewer Application and Permit <br /> � 3254 � <br /> rvo. 2.U497 DATE ' ' _ ;•' ',µ' <br /> Service Address •' '!' - �� 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 <br /> Signed <br /> � '� Customcr <br /> Phone <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition - <br /> Sewer District <br /> Remarks: Monihly Sewer Service <br /> � _. <br /> Monthly Sewer Constr. <br /> ' 3�� — <br /> � 1� 3 7 ! Sn }� /J APProved By ` ' : Aii J <br /> �/ /// /� � CityEngineer� <br /> Issued By ' ' <br /> Connection By --s— <br /> InspectionBy ��Z�� <br /> Date I nspected `7' ��7`� <br /> ��— <br /> :HI <br /> -SEE SKETCH ATTACHED ` � u-Q-�'' <br /> �NSpECTION <br /> —��_ - <br />