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ev�rett �� <br />`, I ;1i . ✓ <br />� � d�cY �i <br />. <br />, �i, 2 ��/ �'�, <br />City of Everett � � <br />Engineeriru Department <br />Sewer Application and Pe�°miY <br />NO. -�.'� :� f J 4ATE — <br />,���'.3 � iL o k'TO <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortga <br />Billing Name_ <br />Connection By. <br />Phone <br />DESCRIPTION: <br />Lot <br />Division or <br />4emarks: <br />-� L iv v.� � —a�7: �...� „ .�c.� <br />� �,0:�, — �t �. � r� �_" RC'ar S �' <br />� �'�� i�. � �/�nt — <br />.Y7 <br />SEESKETCH ATTACHED <br />i <br />Utilit�; Account No._ <br />Connection Permit F <br />Connoc?ion Fee_ <br />Total Fee <br />Signed_ " -- <br />Cus�omer <br />� <br />� <br />Sewer District <br />�+; ,'=O+F <.ac_...' ; <br />Monthly Sewer Service "— <br />Monthly Sewer Constr. <br />Approved By <br />City Enyinecr <br />= ^ ^ , `—{ ISSUCCJ <br />� <br />Connection f3y <br />Inspection By <br />, . <br />Date I nspected__� �` �� � � <br />r <br />