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evereti � - .r . ` � r <br />e � ��Z� <br />, ;, �, - � ;�. <br />; ; ,.: <br />City of Everett <br />Engineering Oepartment <br />Sewer Application cnd Permit <br />NO. ;� OOt� ; ( <br />Service Address— ' _ -' ' _� <br />DATE <br />i. r� <br />Utility Account No <br />Billing Address_ �� '�^ � � �% % / Connection Permit F <br />.-, � � �- i � ( � i,.� <br />City, State, Zip - � . -� ' � � � �,'� Connection Fee_ <br />� <br />Owner (Mortgagor) � /�! %`% Total Fee <br />Billi�g Name --�j ���%� - <br />, � _. <br />Connection Bv—_ - ��� .' 'iy <br />Signed <br />Customor <br />DESCRIPTION: <br />Lot _ � +% <br />Block <br />Division or Addition ll ��L i�/;;� /� �"•. - <br />Sewer C)istr <br />� <br />SEE SKET'CH ATTACHED <br />Mon[hly Sewer Service_ <br />Monthly Sewer Conslr. <br />Approved By <br />Ciiy Enginm•r <br />ISSUC(J Eiv _ <br />Connecr,ion By __ <br />Inspection By _ <br />Datelnsoected <br />