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everett <br />City of Everett <br />Engineeting Departnent <br />Server Application and Permit <br />NO."gi I DATE --. _-- -- �— <br />Service ,address — Utility Account No <br />62407 <br />Billing Address <br />% %� <br />Connection Permit Fee <br />City, State, Zip <br />` ' % <br />` ft �' _ <br />Connection Fee <br />Owner (Mortgagor) <br />j-'i1% <br />CJ ) J <br />Total Fee �— <br />Billing Name <br />Connection By <br />Address__ <br />'� LLLL . <br />Signed <br />Customer <br />Phone <br />DESCRIPTION: <br />Lot_ , ' `7 <br />Block_;-'- -/— <br />Division or Addition 1 - <br />Sewer District <br />Monthly Sewer <br />Remarks <br />MCI <br />S <br />API <br />az <br />Issc <br />COI <br />Ins <br />Dat <br />SEE SKETCH ATTACHED INSPECTION <br />ithly Sewer Constr <br />proved By <br />City Engineer <br />ed By <br />nection By— - <br />>ection By <br />t lnspected '114, ! v <br />