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• a <br />everett <br />� <br />City of Everett <br />Engineering Department <br />-:' - �� i. �� <br />�� -_�� [ <br />,�i,� ST"r,-!� �-. _ <br />� , <br />, �. < <br />Sewer Applicatidn <br />No. �1>02%5 <br />DATE <br />and Permit <br />Service Address � <br />Billing Address _ <br />City, State, Zip � <br />Owner (Mortgaaor) <br />Billing Name <br />Connection Bv <br />Utility Account No. <br />Connection Permit Fee <br />syouLo HAv6� <br />Connection Fee�C-EN P/� I � � <br />Total Fee <br />Signed ` <br />Customer <br />Phone _ <br />DESCRIPTION: <br />Lot <br />Block �r/ <br />Division or Addition_._-' � Y <br />Sewer District <br />Monthly Sewer Service._ <br />Remarks: � � <br />iblonthly Sewer Constr._ <br />y �. <br />SEE SKETCH ATTACHED <br />i� __,,�., '_,,��� <br />4pproved <br />Issued <br />� <br />Engincer <br />Connection By <br />Inspection By �����-���%`f^--� <br />Date I nspected �/��% � <br />� <br />- ' <br />