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everc.tt � u V � � - �� . . <br /> /� / /,J o. ' � <br /> � , ; <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicai•ion and Permit <br /> � <br /> , �� `/ L :i ����i ' <br /> NO. :iU �;) ; �` DATE `� // 7 <br /> Service Address ' f Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip - ' Connection Fee �, <br /> � <br /> Owner (Mortgagor) ' Total Fee __ <br /> Billing Name <br /> Connection By <br /> Address - Signed_ � <br /> Cusromer <br /> Phone � <br /> DESCRIPTION: <br /> Lot _ <br /> Block ' <br /> Division or Addition <br /> Sewer District <br /> Monthly Sewer Service � <br /> Remarkr. <br /> Monthly Sewer Constr. —" <br /> Approved By � ' <br /> Ciry Engineer <br /> — ISSUBCJ By � - � <br /> Connection By <br /> Inspection By �' �-�� A"�"_-� <br /> Date Inspected �// �7 `� <br /> V <br /> SEE SKETCH ATTACHED <br /> �.�:., - - � <br />