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everett I . __ --? . _ ..: ,� - _ . <br /> %� � J <br /> e r ,J �u _� � <br /> , , 7 ,. <br /> , . <br /> 1- ` F <br /> City of Everett • ��� ��� � �.,�`r` <br /> Engineering Department � � <br /> Sewer Application ond Permit <br /> 3,�4$0 <br /> N0. � � O � g ✓ DATE " ' '� ' . <br /> . <br /> .2c5c' 7 f�r�'i 1� <br /> Service Address ' ` Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip ' Connection Fee /.��7���,�!� <br /> Owner (Moitgagor) – '' � Total Fee <br /> Billing Name <br /> Connection By � <br /> Address Signed <br /> Cus�omer <br /> Phone " '- <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> Monthly Sewer Service <br /> Remarks: <br /> Monthly Sewer Constr. <br /> e,�,.._�-s ,�— .e�._z. �� — <br /> Approved By <br /> Ci1V En9ineer <br /> Issued By — <br /> Connection By <br /> Inspection By <br /> Datelnspected ��Z��3 <br /> :YI <br /> SEE SKETCH ATTACHED ;, �_,� <br />