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�.r. <br />e•;�erett <br />�e <br />City of Everett <br />Engineering Department <br />, <br />� � > ,,: ; <br />; _�� ; <br />`�.', ��-�t � rl��. <br />'. <br />Sewer A.pplication and Permit <br />1 J�,,�. <br />rv o. .:� �� ., <br />���.il <br />Service Address <br />Billing Address_. <br />City, State, Zip _ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />DESCRI°T'ION: <br />Let_ <br />Block_ <br />Division or Addition <br />DATE <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee__ <br />Signed <br />SEE SK[TCH ,qTTACHED <br />�,�� i �� �. . <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Anproved By <br />cnv e�,y��,�« <br />Issued <br />ConnecUon tsy— — <br />Inspection By ����-r����'�"'"–� <br />i, <br />Date i nsoected_ '�' �"'� '� ' <br />