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everett <br />� <br />City ot Everett <br />Engineering Department <br />I� � y� . ' �, l� � v� ���!��� t,� <br />/� :.� � ,��' <br />Sewer Application and Permit <br />N0. <br />Service Pddress <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor�_ <br />Billing Name <br />Cunnection By_.— <br />Phone <br />DESCRIPTION: <br />Lot _-- <br />Block <br />Division or Addition <br />DATE � <br />33395 <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Sig�. <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />a <br />SEE SKETCH ATTACHED <br />Approved BY <br />Ciry Eng��eer <br />ISSUCd IiY <br />Conn <br />Inspe <br />Date <br />