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eve:eti . <br />City of Everett <br />[ngincerinp Depzrtment <br />Se�.��� ��������e��� ��� ���r�a�� <br />N0. �._OOrLG � DATE —_ <br />Service Address � y_� Utility Account No._ <br />6illiny Address___- Connection Permit Fee_. <br />City, State, Zip __ _— ' Connection Fee <br />- Tctal Fes_ _-- --- <br />Owner (Mortgagor) - -- <br />Billing Ncme - - <br />Connectioit By --------- " <br />Address----- Si�ned_ <br />OI1P.--'___'_. . _ <br />_. _. __.. _..._...— <br />DESCRIPTION: <br />Lot _ --- <br />Block_ <br />Division or Addition — ------------ <br />Remarks: , <br />uswincr <br />Sewer District___ _— <br />Montf,ly Sewer Service <br />P�7onthly Selver Constr <br />• ,_ ,. �..�., <br />• __ Approved By <br />c��v e�,���,��.� <br />� � �.� . . ..� _ <br />-- Issued 8y -- <br />� — --- Connection BV — <br />— Inspection By <br />Date Inspected_ <br />y---- ----- <br />SEE SKETCN ATTACHED INSP[CTION <br />