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CHAHT NO. � �� l w��—�) �1 <br /> ' � _ �"' ,J <br /> evereri /''`' ' � <br /> i � , <br /> � I <br /> � City of Everett <br /> � [ngineering & Community Services <br /> �� Sewer Application arrd Perrr�it <br /> ; <br /> , <br /> ' DATE <br /> i N 0. ', �� ., I <br /> � _ - ; .� - ✓ U <br /> ' Service Address ! Utility Acco�nt No <br /> v v_o <br /> � Permit Fee_ � <br /> i E3illing Address ��a� <br /> � i Connectior. Chargels) - <br /> 'i City, State, Zip <br /> i ' Total Fee �vvs <br /> � Owner (Nortoagor) <br /> i <br /> i Billing Nama <br /> i, <br /> �� Connection By <br /> � . <br /> �� �� , <br /> � Address _ Signed — <br /> Cusiomer <br /> i > , � '� j %'. � .t <br /> � Phone_ ' � <br /> Sewer District - --- <br /> '� DESCRIPTION: a�C . _, <br /> j �a� Block Monthly Sewer Service-_—= <br />