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everett <br />�I <br />J <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. DATE f C! <br />Service Address �,IGi '�"����� 1� / Utility Account No, <br />Billing <br />City, State, Zip _ <br />1 <br />Owner (Mortgagor) f1 <br />Billing Name <br />Connection By �, r`.--.1,/ <br />i <br />.fit 4 Jt. tV A4 D <br />Phone '7 q E S � `/ SS <br />Connection Permit Fee <br />Connection Fee <br />Total Fee .�L- <br />DESCRIPTION: <br />Lot ; ?'- <br />Block ?^ 1 / <br />Division or Addition (7 0(- F— 7-7 /' <br />ll <br />� <br />^ Customer <br />Sewer <br />Monthly Sewer <br />Remarks: 90 =% '/A/ <br />Mo <br />C/L <br />ISSt <br />Col <br />I nsl <br />Dat <br />SEE SKETCH ATTACHED <br />INSPECTION <br />nthly Sewer Constr <br />)roved By 4109Z L- UL/ D <br />City Engineer <br />edBy <br />mection By <br />section By/t <br />e Inspected 5��7 '> <br />6 <br />