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�v�reri , <br />� ( <br />J <br />City of Everett <br />Engineering Oepartment <br />-{ <br />� <br />Sewer Application anc� Permit <br />NQ, i_ _� J �J .� DATE — <br />Service Acdress � � <br />Billing Adjress <br />;,c. <br />City, Statc, Zip � ' �' <br />'� � <br />Owner (Mortgagor) � �� � � <br />Billing Name <br />Connection By_ <br />., <br />" :•�� .�i <br />DESCRIF'TION: <br />Lot _ <br />Block_ <br />Division or Addit <br />_ Utility Account No.. <br />_ Connection Permit F <br />•' � - Connection Fee_ <br />� Total Fee <br />Si <br />— / <br />Sewer District ---- - — <br />Monthly Sewer Service � ` , �RU�`\ <br />j � \ <br />Monthly Sewer Constr. -_ ON 1 <br />� ----- <br />SEESKETCH ATTACHED <br />A�p�Oved BY C�ry Enginccr <br />Issued B <br />Connection 8y — -- — -- — <br />Inspection Dy�'�"`"� — <br />%` <br />Date I nspected�Y� _ �--- — <br />