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/ <br /> everett -, � - .`-. <br /> C � ( �� �" �/ <br /> e J � �. � , ��`'��� ° �;"� <br /> , � . <br /> City of Everett <br /> Engineering Department <br /> Sewer Ap�lication and Permit <br /> � � fss <br /> N0. �,1.� 4G � DATE _ ' _ / _ <br /> Service Address� ' ' � ' Utility Account No. <br /> Billing Address_ Connection Permit Fee : _ <br /> City, State, Zip_ ` Connection Fee — <br /> Owner (Mortgagor) - ' Tota! Fee � I � <br /> Billing Name_ " <br /> Connection By - <br /> Address Signed <br /> Cusmmer <br /> Phone ` <br /> DESCRIPTION: <br /> Lot — <br /> Block <br /> Division or Addition <br /> Sewer District _ <br /> ', Monthly Sewer Service , <br /> Remarkr. � � <br /> Monthly Sewar Constr. <br /> � ���_�� ,� g�S � n �J � e�-..,�,� . <br /> Approved 13y_ � <br /> �. b �� Ciry Engineer <br /> � <br /> Issued By__ '� � <br /> Connection 6y — <br /> . Inspection By — <br /> Date Inspected � � � — <br /> .FJ <br /> SEE SKETCH ATTACHED <br /> I . �-.'.l �. . <br />