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�_ : , � <br /> everett ,� . �� <br /> � ' <br /> -� - 7 Y <br /> i . <br /> City of Everett ' <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> � �745 <br /> N0. ��O 2 J � DATE ' <br /> ,,2 yi 7 />i•vr_= <br /> Service Address Utility Account No. <br /> Billing Address Connection Pennit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) � Total Fee <br /> Billing Name <br /> Connection By <br /> � <br /> Address _ Signed ; <br /> Customer <br /> Phone " <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition - � <br /> Sewer District <br /> Remarks: Monthly Sewer Service � <br /> Monthly Sewer Constr. <br /> .���_ �, �. fi� . <br /> ��L-�';'/"' : � � _� . APProved By . , . . � <br /> f�_� / � 5��.. t' Gty En�jineer <br /> ��_�'a"��`T"`� � Issued By ` <br /> Connection By <br /> _ Inspection By N� ��,,� <br /> � <br /> — - Date Inspected /G J <br /> .t� <br /> SEE SKETCH ATTACHED <br />