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� _ . _ . . <br /> � <br /> � <br /> everett I�� - `7_ c*� � '. .. ` <br /> � � � , �� - . .�, �; <br /> li `. <br /> � ,. , <br /> City of Everett <br /> Engineering Department ' <br /> Sew�r �►pplicatic�n and Permif <br /> - 3�5�6 <br /> � t; �; .- <br /> NO. ���G �- • – DATE <br /> 2s2 � La.v�r�,�,��� <br /> S�rv�ce 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 ` � ',' .`�{--'�.F . _ <br /> Cuswmer <br /> Phone <br /> � <br /> DESCRIPTION: <br /> Lot � <br /> Block_ <br /> Division or Addition ' " � <br /> Se,aer District <br /> � Monthly Sewer Service <br /> Remarks: <br /> Monthly Sewer Constr. <br /> dZ�-� - <br /> — Approved By ' �` ' <br /> City Englne.cr <br /> ----- Issued By _ � <br /> Connection By— <br /> Inspection By_ _. <br /> Uate Inspected <br /> � <br /> SEE SI<ETCH ATTACHED - " � <br /> � , <br /> � <br />