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everett L . ,r , " <br />� �1- � � 2 �l -5 - <br />�� �� <br />`�� � l .� / : ./�'J / <br />City of Everett � <br />Engineering Departmeut <br />Sewer Appiication and Permit <br />N0. - DATE <br />2 �� �� � ti�yT <br />Service Address_ <br />Bi!ling Address_ <br />City, State, Zip_. <br />O�vner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />Address_ <br />Phone <br />DESCRIPTION: <br />Lot <br />Division or <br />Utility Account No. <br />Connection Permit Fee <br />Connection Fee r" �'T ��Q" <br />To.al Fee — -- <br />Sigi <br />a��.���.,., <br />Seaver District__ _ <br />'Vlonthly Sewer Service, <br />V�onthly Sewcr Constr. <br />:7 <br />SEE SKETCf-I ATTACHED <br />Approved By <br />ISSUOCI <br />cny t..n��,,.,�� <br />Connection By— — — — --- <br />, l . —;.. <br />Inspection By ��� ��y '� ��' ""�� <br />Date Inspected__ `���-� �� 3---- — _— <br />