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ev� er- <br />� <br />City of Everett <br />Engineering Department <br />Sewer App{ication and Permit <br />NO. :ryL� �- � ft DATE - ' <br />? - , <br />Service Address - - - '� Utility Account No. <br />Billiog Address ' Connection Permit Fee '� � <br />City, State, Zip ' " J Conneciion Fee <br />Owner (Mortgagor) " Total Fee <br />Billing Nanie <br />Cannection By <br />Address � Signed_ ' �-� �" - <br />/ . ' Customer <br />PV.nnn . " ' �� 1 '�/ . <br />DESCRIPTION: � ' <br />Lot <br />Biock <br />Division or Addition . . . . , - i <br />J <br />SEE SKETCH ATTACHED <br />i � <br />Sewer 9istrict <br />Monthly Se�ver Service <br />Monthly Sewer Constr <br />APproved BY— - ' ; , <br />Ciry Engineer � <br />Issued <br />Connection By <br />Inspection By �' �`���•�-� <br />Datelnspected ��-zy�� 3 <br />