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■� <br />everett <br />e ���� � - _ <br />;;%�' ' ���% Q. �_ - <br />City of Everett � ! �� ����� � i <br />Engineering pepartment ��/ %� � � = � <br />Se�nrer Appl:cation and Peirmit <br />NO.,-'-.�'i �i;�� DATE <br />Service Adoress_. �" �. _ ,; ,- <br />� Utihty Account No. <br />B�„�ng Address <br />— Connection Permit f <br />City, State, Zip y . _ <br />Connection Fee_ <br />Owner (Mortgagor) --f , ; ; <br />. _ _ Tot:d F��.,, <br />Billing Name <br />Connection By <br />Aridress .�- , ,. <br />Phone <br />DESCRIPTION: <br />Lot._ <br />Block_ <br />Division or Addition <br />_ , � `.':;� ._ . <br />Signed . <br />Cus:omer �—'— <br />� Sewer District <br />Monthly Sewer Servic< <br />Monthly Sewer Constr <br />�� <br />SEE SKETCH ATTACHE�J <br />APProved BY �. � r�i I:J <br />City Enpineer --- <br />Issued By <br />:onnection By <br />nspection By� JD�` <br />� _ <br />ate Inspected =� i�" ; �-/ <br />