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everett L � � + , \� •� <br /> � - <br /> City of Everett <br /> Enpneering Department <br /> Sewer Application and Permit <br /> NO. :e�OOH9 '/ DATE ,�__' ' "-_ .' __ ���tsO <br /> Service Address�(v1� TTLCLU 17�T Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, 2ip_ � Connection Fee <br /> Owner (Mortgagor�_ Total Fee 1 <br /> Billing Name_ <br /> i <br /> Connection 8y 9 <br /> Address Signed � <br /> Customer i� <br /> Phone � <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition � <br /> Sewer District <br /> Remt:rks: <br /> Monthly Sewer Service <br /> �� Monthly Sewer Constr. <br /> - C� APProved By <br /> � � �'� Ciry Engincur <br /> � �r -' ' <br /> A Issued By <br /> tL <br /> — Connection By <br /> Inspectian By �/.- Y�����+--' <br /> Date Inspected_ -Z m_7� <br /> � <br /> SEE SKETCH ATTACHED <br /> t�LSPCCTIO�� <br />