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everatt � ' <br /> .� � <br /> _ C�\ <br /> City of Everett <br /> Engineering Department <br /> Sewer i4pplicati�n and Perrv�it <br /> ; <br /> N0. T �� j _j i- ' �DA� ' '� ` :�E�� <br /> 3 :3l5 `� — <br /> Service Address- - - ' 1 Utility Account No. <br /> Billing qddress - <br /> Connection Permit Fee -- <br /> City, State, Zip ' - — <br /> Connection Fee <br /> Owner (Mortgagor) � Total Fee <br /> Billing Name <br /> Connection By <br /> Address SigneJ <br /> PhOf1B " Customcr <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> Remarks: Monthly Se�ver Service f�c�7L�17i <br /> Monthly Sewer Constr._ .�Od/F <br /> _� ��L�..,� t � -� _ <br /> Approved By <br /> � 3J S � / � iz- j- .� � Cily Engmcar <br /> L�-� i«��u� SS ' "� ,�� t - IssuedBy <br /> s—�,b.n___,� <br /> Connection By <br /> � Inspection By � - f�� ' <br /> Date Inspected J'�/ � 7 "' <br /> J <br /> SEESKETCH ATTACHED <br /> � , <br />