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everett <br />e <br />City of Everett <br />Engineering Uepartment <br />/ C . <br />� �� 1 �` J � <br />� <br />� ; ' � ; � t:- , , �, ,;.,, <br />�-� ���� � <br />Sewer Appl�cation and Permit <br />rvo.`�,0477 <br />DATE =r ; % - � / � c.:. <br />Service Address �- � � --� =�� / - i'.I; r^� <br />Billing <br />, City, State, Zip -�=� r`_ -'` j� <br />Owner �Mortgagor) � f l l�1 <br />Billing Name - - <br />Connection By • -`J ��- � fl' /�' ' : � �� '1� <br />, <br />Address - : (� , :_ S =- �J� /.' E ;-r :1.� �_ . <br />i <br />� _ � <br />Phone- _- -' / ' >.' � �= �"- <br />Utility Account No. -` -" <br />_ •� z� <br />Connection Permit Fee � � <br />Cannection FeF� '-�- <br />_,, <br />Total Fee -- � <br />; � <br />i � <br />Signed_ �� � ' � � t , „�.�i <br />- " � Cusromer—� �- <br />DESCRIPTION: <br />Lot_�� !� <br />Block � 5 -� <br />Division or Addition =-��'1 --t1 i. r- 1�- ( f7 <br />� 1 R�, T Sewer District " <br />:v <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Monthly Sewer Service � <br />Monthly Sewer Constr <br />Approved By " i�. �� i j'1 ��.. tl':iJ '-� — <br />City Engineer <br />, ..i <br />IssuedBy � '<c� ; <br />Cannection <br />Inspection By�.c��•��•-+--� <br />Date Inspected_ �.��1'� `f <br />