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� <br />everett r <br />e <br />City of Everett <br />Engineering Department <br />u <br />Sewer Application and Permit <br />1 " n Cn �� <br />NO. -�_�7 L ,� C DATE <br />Service Address � N� <br />Billing Address <br />� <br />City, State, Zip � � � <br />Owner (Mortgagor) <br />Billing Name ' ' <br />, <br />Connection 6y_.` � � j ��' � <br />Address ` ' <br />, , — <br />Utility Account No. <br />Connection Permit f <br />Connection Fee_ <br />Total Fee <br />Signed <br />DESCRIPTION: <br />Lot <br />BI �ck <br />Divisiun or Additian � %�%- :' <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />J <br />SEE SICETCH ATTACHED <br />Approved By_`� <br />Enginrtr <br />Issued By " <br />9 <br />Connection By_ � ' <br />Inspection By <br />Datelnspected <br />