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E <br />� <br />` <br />' <br /> ever�tt <br /> � � <br /> . , <br /> -- , <br /> City of Everett <br /> Engineering Department <br /> Sew�r �pplication and Permit <br /> � . � <br /> � � ,- <br /> N0. �-�- u �� J 0 DATE . � <br /> �._=.�:.'-- <br /> Service Address - "''- • Utility Account No. <br /> Billing Address - -' _ Connection Permit Fee <br /> City, State, Zip � Connection Fee <br /> �wner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address � -' Signed <br /> c:�.<<��n„� <br /> Phone_ <br /> DESCRIPTION: <br /> Lot <br /> Block __.__ <br /> Division or Addition_ _ <br /> Sev�,�er District ___ <br /> Monthly Sewer Service _ <br /> Remarks: � � <br /> Monthly Sewer Constr._ /��NC" <br /> l�-�J �.,� ^ �� �.�..-��-�- APProved By -- <br /> C� ` � / � Ciry En�incur � <br /> /,.�� T <br /> Issued By <br /> C � �:-�.�-:_-�.,_ � m�� �i..�,0 ��.(� <br /> � �`P" � '^ Connection By <br /> C_'�o� .u-��rt� .e., _ r ��� Inspection By ,C�. ��Z�.., _ <br /> � Date I nspected .�J�7 3 <br /> ,„ <br /> SEE SKETCH ATTaCHED <br />