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evereri <br />!� . ;�. � <br />� '� <br />� � <br />� 2'� �, ��. i <br />City of Everett <br />Engineeting Department <br />Sewer Appiicatior� �nd Perrr�it <br />� ,. <br />NO. .i ..JC'—`, <br />Service <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor <br />Billing Name_ <br />Connection By_ <br />Address <br />DESCRIP710N: <br />Lot <br />Block <br />Division or Additioi <br />Remarks: <br />DATE <br />Utility Accaunt No. <br />Connection Permit f <br />Connection Fee <br />Total Fee <br />Signed <br />Cosmmer <br />__„�..:,i ' �S,.Q Q�.. _ .c�Q�u� '�� � <br />- � •�� �.: <br />J <br />SEESKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service____.-_ <br />� � ,niii'�� . ...,.i �>�:, <br />�a��,�,:,,� , �� u; <br />c��v e��y���;,�„ <br />Issued <br />Connection By <br />Inspection E',y ,6r! ����-✓ <br />Date Inspecte� �;' 3 �7 '� <br />'--t—=----- -- <br />