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( <br /> ` �: �r 2� _ V�_ � .. . _ . <br /> everett <br /> ,� � -%-�=� <br /> � ���� �, � ,. <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> �1� s;�44s <br /> N0. 1�-OOu4 / DATE - ' <br /> 200� F. L`c�tir%� �� U-P <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 Signed <br /> Cuslomer <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 /> �/ r. Ce--..,, Z'i �l�,�Y' �'�., ,�-�-._ � vt <br /> H �e.e _ •, .Z.r e ti, � i <br /> Approved By <br /> (�, � � City Engincer <br /> �-Kr <br /> Issued By <br /> -- Connec;icn By <br /> -- Inspection By '�' ���w <br /> Date Inspected � � a'� � L <br /> � <br /> SEE SKETCH ATTACHED <br /> INtiPEC-iION <br />