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everxtt <br />e � <br />City of Everett <br />Engineering Oepartment <br />Sewer Applicat <br />,i <br />. �� �;=- � <br />_ a. <br />�� `� <br />,,^ . <br />, <br />ion and Permit <br />N0. -�-U�}�.7 / DATE _ <br />Service Address �' Y -- <br />Billing Address_ <br />City, State, Zip <br />Owner IMortgagor) ' �'" -- <br />Billing Name — <br />Connection By ' <br />�, , ,. <br />Address - <br />. i: <br />Phone _ _—�--- <br />DESCRIPTION: <br />Lot _ <br />Blxk -- <br />Division or Addition <br />Utiiity Account No. <br />Conner.tion Permit I <br />Connection Fee_ <br />_ Total Fee <br />Signed <br />.� <br />SEE SKETCH ATTACHED <br />Se�ver Disirict -- -- <br />Monthly Sewer Service <br />Monthly Sewer Canstr. <br />Approved BY <br />cnv e�y��,���� <br />Issued By <br />Connection By <br />Inspection By—�Un�'��"-� <br />Date I nspected.--/r `�/� '� -- --- <br />