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everE!t <br /> � r, „ <br /> ` ' , �/, <br /> City of Everett � <br /> Engineering Uepartment <br /> Sewer Application anc� Permit <br /> Jr:� ',)� '.� � <br /> No.`�0331 DATE <br /> ' ; <br /> Service Address_ ' � "� %� Utility Account No. <br /> Billing Address Connection Permit Fee � <br /> , �i <br /> City,State, Zip - Connection Fee <br /> Owner (Mortgagor) •� '� % Total Fee <br /> Billing �ame <br /> Connection By �� - <br /> Address �, ' ' Signed <br /> Cusromer <br /> Phone �� ' .� <br /> DESCRIPTION: <br /> Lot_ <br /> Block � <br /> Division or Addition � ' = ' ' � � <br /> Sewer District_ <br /> 2 s`� <br /> Monthly Sewer Service - <br /> Remarks: �.-'�� . .�..r= / /.'r <br /> Monthly Sewer Constr. ` <br /> � . , � <br /> ('�-.-.-+-� �a G �*��� � Approved By ' <br /> Ciry Enginecr <br /> � � ri �� �c C°S � ...�r � �Lr��- �-c.--'� Issued By � � <br /> Connection By <br /> Inspection By �� � /��„ � <br /> Date lnspected ���'� � j <br /> vJ <br /> SEE SKETCH ATTACHED i�.,y�cr_.Tlo��i <br />