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i <br /> everetl I <br /> ..e > > _ <br /> ; <br /> � _L��F� ,., ,� � <br /> City of Everett � �, I <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> ;� �:,E; :�6 <br /> -,�, ; - � - � -- <br /> NO. �L 1 __ DATE _--- <br /> Service Address - Utility Account No. <br /> f3illing Address _ Connection Permit Fee ' <br /> City, State, Zip �" r ' Connection Fee ��T �� <br /> Owner (Mortgayor) '- � � _ Total Fee <br /> Billing Name <br /> Connection By <br /> � '�%r �-; ' .•--��:._ <br /> � <br /> Address 1��� ti ��l < _ Signed — �a��,,,—�,����- ----- <br /> Phone - - — -- - — — -- <br /> DESCRIPTION: <br /> Lot <br /> Block__ � - <br /> Division or Addition__.------ ------- <br /> Seevcr District__—— — - <br /> N�onthly Sewer Service <br /> Remarks: .'i;,=';-' <br /> Man[hly Sewer Constr. _ -- <br /> os��—�� �-,� tir a-P�.�-., 2 3 7 � S <br /> 2� N¢ S'f Y�l �• Approved BY — <br /> - Ciry Engincci <br /> �� �.ac..��. `�-Cr.�.�_n-�,�.k— CA-�-�,�ti�r�r+..s Issued BY f�� � - — <br /> �� � � �a /�-�l'�zLe� �. z-�� � ��.�...y <br /> � <br /> Connection By <br /> ----- ,�� �L'?,r�-r�� <br /> Inspection By—�� <br /> — Datelnspected_ '��' -� � --- <br /> �----- <br /> SEESKETCH ATTACHED <br />