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evertit � " �-��,�=- s - <br /> e _ . , , . <br /> . . � <br /> ! City of Everett <br /> Engineering Oepartment <br /> Sewer Application anc� Permi#� - <br /> I JuU ! � <br /> j : . I <br /> NO. '{O ,.`,OJ DATE - '' --- ; ' — <br /> Service Address "'r ' _ UtilitY Account No. — <br /> Billing Addrass " _ Connectiun Permit Fee � — <br /> � ' Connectian Fee <br /> City,State, Zip � � — <br /> � <br /> � Owner (Mortgagor) ' '-' Total Fe�- <br /> Billing Name __ <br /> Cunnection By <br /> Address _ Signed_. <br /> CuS�amCf <br /> Phone <br /> DESCRIPTION: <br /> Lot � <br /> Block / " �j' <br /> Division or Addition <br /> ��ewer District <br /> �4onthly Sewer Service <br /> Remarks: r' <br /> Monthly Sewer Constr. ` <br /> �'��L'o�.,.,,, �G " ���.-��/�� .2_�', , <br /> '-c� APProved By �- <br /> Ciry Enginecr <br /> � '� � � 5 �' �S l,: �' -- � <br /> 2?.�'-�-� -��--�'" Issued By <br /> _ Connection By <br /> Inspection By 7��7 3 � <br /> Date Inspected !��'�"""""J <br /> �l <br /> SEESKETCH ATTACHED <br /> li!SPECTIOi l <br />