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everetl - <br /> e �� <br /> � <br /> : <br /> City of Everett <br /> Engineering Department - " • <br /> Sewer Application and Permit � - <br /> �33095 <br /> NO.�-O�I�_L DATE ' <br /> Service Address �" Utility Account No. <br /> Billing Address Connection Permit Fee -' <br /> City, State, Zip __ Connection Fee__ <br /> Owner (Mortgayor) Total Fee__ <br /> Billing Name <br /> `� <br /> Connection By <br /> \ Address_ �� Signed <br /> n�s���.,��� <br /> Phone -------- <br /> DESCRIPTION: <br /> Lot <br /> Block_ <br /> , <br /> Division or Addition ' - <br /> Sewer District —_-- <br /> Monthly Sewer Service <br /> Remark5: �,- � • <br /> Monthly Sewer Constr. <br /> �, Appro�=d By � <br /> Ciry Engmeur <br /> Issued By <br /> Connection By <br /> inspection By <br /> Datelnspected _ _ _ — <br /> � - --- -- <br /> SEE SKETCH ATTACHED <br />