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everett <br /> � � <br /> City of Everett � <br /> Engineering Department � <br /> Sewer Application and Perm�t '; � �: �`�� <br /> N0. ��I_U � .L i ✓ DATE � _. � — <br /> ' ! � Utility Account No. <br /> Service Address - <br /> Connection Permit Fee <br /> Billing Address _ <br /> Ciry, Sta±e, Zip ' ' � Connection Fee — <br /> .. ,-�, :, - - Total Fee,_ ------- <br /> pwncr (Mortgagor) <br /> Billing Name ` <br /> Connection By_�—` — <br /> � - . _ S19f1Cd_ Customcr <br /> Address_ <br /> , . <br /> Phone -- ------ -- <br /> DESCRIPTION: <br /> Lot <br /> Block — <br /> Division or Addition <br /> Se�v�' Disr ict — <br /> Monthly Sewer Service — <br /> Remarks: � � ' ` � � �'� t. � Monthly Sewer Constr. — <br /> , <br /> .. � <br /> <.(.,�,k�1 � o�,, O.?�� ` 0 A�Proved By � � ' <br /> i <br /> City Engmeer <br /> � �— <br /> ISSUeC� BY <br /> Connection By <br /> Inspection By <br /> Date Inspected_ ������3 — <br /> � <br /> SEESKFTCH ATTACHED <br /> • <br /> � f <br />