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everett _ l. �'J - � � • " <br />� '� � r� <br />..r r', <br />City of Everett <br />Enyineering Department <br />Sewer Applicuti�n a�d Permit <br />NO.'-'- � � DATE _ <br />Service Address -' ' <br />Billing Address <br />City, State, Zip_ - � <br />Owner (Mortgagor) <br />Billiny Name <br />Connection 6y _ <br />Address <br />Phone <br />DESCRIPT!ON: <br />Lot _ <br />iilock <br />Uivision or Addition <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Signed <br />StE SKETCH ATTACHED <br />I , '�:�'-i�l� . <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewsr Constr <br />��. <br />Approved By <br />City Engineer <br />�SSIIEd Bv __. _ _ <br />Connection B,;- <br />�r � _ <br />Inspection By_ . % -c � � :, ." _ — <br />Date Inspected ���0 � 3 <br />