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1 � <br /> evetelt � <br /> e � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> J �i :.. I 3 <br /> NQ �'1' `� 12 DATE — <br /> / , ; � <br /> / " ," Utility Account No. <br /> : '� ' <br /> Service Address ._ <br /> Connection Permit Fee <br /> Billing Address—� <br /> _ ;':r/i . -S_ ,'. <br /> � Connection Fee <br /> City, State, Zip,� ' <br /> Total Fee <br /> pwner (Mortgagorl_ <br /> Bil�ing Jame <br /> . � � ' ; ; <br /> Connection By <br /> Address , � T ! Siyi�ed c s� nc, <br /> Phone �---- — — <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition � Sewer District <br /> �--- { : :. <br /> Monthly Sewer Service ` ` '�J"� w � � <br /> Remarks ' �.'-% ='T'�'�v � <br /> — Monthly Sewer Constr. - <br /> � . ._i.. i L �� '- _ . -�' <br /> Approved By '- � --�— <br /> __ c��v e�y��,«� <br /> � . r � � <br /> Issued By -- — <br /> � � 23�5 5—a5 <br /> Connectior By__ <br /> �� �� y�i <br /> .�.*_.n�.� <br /> ��� Inspection By_I=���' — <br /> t./ �/�j G <br /> 2/� 3j � y — <br /> ,_ G Date I nspected._� — --- ---- <br /> i <br /> I � — <br /> � <br /> J <br /> SEESKETCH ATTACHED <br />