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everett �' ._- �v - Z �-� ` �� <br /> / - - , <br /> e � :.� _ �� . . <br /> ,. � <br /> ' r . ? <br /> ' � �� <br /> �- . . <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> 32481 <br /> N0. �� 1 � �'� DATE � <br /> �2 �/9 ,���u i f/ <br /> Service Address Utility Account Nn. <br /> Billing Address Connection Permit Fee_ <br /> City, State, Zip Connection Fee y((/P�7��T�� <br /> Owner (Mortgagor) Total Fee_ <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> ... cu:tomer <br /> Phone <br /> UESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> - Monthly Sewer Service <br /> Remarks: <br /> Monthly Sewer Constr. <br /> .,u-w c T 1° � ` ul L'wi-�i <br /> , <br /> Approved By <br /> Gty Enginccr <br /> � ISSU2C� BY <br /> Connection By <br /> Inspection By � ����-�—n�� <br /> Date Inspected_�/��f�/� <br /> :m <br /> SEE SKETCH ATTACHED <br /> �':"�l C-�. Ivi�l <br />