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everetl <br /> e , : _ , _ �� 5 ��-� <br /> � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application Q,nd Permit <br /> _, �� � : 1 <br /> NO.� � J S S DATE � - � - <br /> Ser�•ice Address Utility Account No. <br /> Billinp Address Connection Permit Fee <br /> City, State, Zip ' Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> � Connection By � <br /> Address Signed <br /> Customcr <br /> Phone <br /> DESCRIPTION: <br /> Lot <br /> Block_ <br /> Divisian or Addition ' <br /> Sewer District <br /> Monthly Sewer Service_ <br /> Remarks: � <br /> , Monthly Sewer Constr. <br /> � r n <br /> Ld*-�s� (� � � " 1'I ��.t /.:J ��._c � Approved By <br /> Crtv Enginccr <br /> ' ��_n� C S u� -�i (c'w+-C �ifi' � <br /> Issued By <br /> - Connection By <br /> � -...-;�_ <br /> Inspection By ��� r11-- ���z���--� <br /> Date I nspected �`� i . 7 3 <br /> � <br /> SEE SKETCH ATTACHED <br /> ir;,��,�.- �. � Ir�� <br />