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evereri <br /> � i �- ' <br /> I <br /> City of Everett I <br /> Engic.aring Department <br /> Sevw�r ApplR����tio►� snd Psrmit <br /> ,; c: :, �i � <br /> NO. c�iJ � �� :- DATE _ --- <br /> Service Address - � � Utility Account No._ _ <br /> Billing Address — <br /> Connection Permiz Fee_ <br /> City, State, Zip '�' � '•' �" Connection Fee_ . <br /> Owner (Mortgagor) - ' ' `� Total Fee _._ <br /> 3illing Name__' ��� ' " <br /> Gonner.tian By <br /> � ; - -?. ,�'-= _ Signed <br /> Address c�s���°°' <br /> . . �. _ <br /> Phone -- — <br /> DESCRIPTION: <br /> Lot <br /> Block — � <br /> Division or Addition � <br /> Sewer District � <br /> � <br /> Month{y Sewer Service <br /> Remarks • • - `'�L �.5 _ <br /> ��,��`e B�L y Monthly Sewer Constr.�— <br /> � <br /> y �,�` f .G , 4.�c��a' �'�.�� � ' � ' _ <br /> Approved By - <br /> �`v� Ciry Engmcer <br /> �r.�'.�Ur C S� .�'4���`,n"`' <br /> I,sued By -- <br /> Connection By -- <br /> Inspection By f� '�'=t-'""�� � ' — <br /> � <br /> Date Inspected_�i%�'� � — <br /> <� <br /> SEE SKETCF` ATTACHED i; ;PECII�I� <br />