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ever�tt � <br /> '� <br /> � , <br /> „ <br /> City of Everett <br /> Engineering Department <br /> Sewrer Appli�ation and P�erm�" <br /> J �.��� i <br /> N0. '._'�� �_;. i` / DATE — <br /> Service Address Utility Account No._ <br /> Billing Address � Connection �zrmit Fee <br /> City, State, Zip.._ - Connection Fee <br /> Owner (�Jlortgagor) � Total Fee_ <br /> Billing Name <br /> Connection By <br /> Address Signed _ <br /> c�z�om�, <br /> Phone <br /> DESCRIPTION: <br /> Lot <br /> Block j'I/ <br /> Division or Addition �/'" <br /> Se�ver District <br /> — Monthly Sewer Service � - � <br /> Remarks: ' =. <br /> –'��/�i�—�=c, Monthly Sewer Constr. i �`-�� <br /> � �� �r,nn-��. b �, o A� �-, C� � r <br /> � � G � Approved By___ <br /> �\C+C� � '<��C..' ��� �� . ,��� CrtY Engmccr <br /> c <br /> Issued By __ <br /> — Connection By <br /> Inspection By "�7[;�.<z<.v <br /> Date Inspected��73 <br /> � -- <br /> SEE SKETCH ATTAChIED <br /> i, <br />