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everett _ � ,�, <br />� , <br />City of Everett <br />Engineering Department <br />Se�►ver �lppiicatoon Qr�d Permit <br />NO. . i I'' � � I.; C,aTE _ <br />2�� c 9� f�„�.� �z �� p <br />Service Address ` Utility Account No._ <br />Billing Addres<._ _ Connection Permit Fee <br />City, State, Zip " Connection Fee _ <br />Owner (Mortgagor) � - _ Total Fee <br />Billing Name <br />Connection By <br />DESCRIPTION: <br />Lot_ <br />Black <br />Division or Addition <br />Remarks: <br />� <br />a <br />e <br />SEE SKETCH ATTACHF.D <br />- /'.':'. <br />Si <br />iwr.mffi <br />Sewer District _ <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Approved <br />� <br />Issued <br />Connection By <br />� �� <br />;�spection By '�'- � � - <br />Date Inspected_ i���' � L � _ <br />! — —=-- <br />