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.�- <br />�. ev�erett _ . <br />� � � � _ <br /><' � ' l <br />. .i <br />City of Everett <br />!/ <br />Engineering Department <br />Sewer Appl�cation and Permit <br />NO.������'� DATE _ � �–� � � <br />Service Address `y ' - � / <br />Billing F�ddress <br />_ . .. <br />City, State, Zip_ � - � � , <br />Owner (Mortgagor) 'a -�'• ' <br />6illing Name -'-- <br />Connection Bv , ,� -� •. ,' <br />Utility Acr.ount No <br />Connection Permit <br />Cornection Fee_ <br />Total Fee <br />Address � -'�' `'� -' S <br />� Phone � '" � `�" � <br />DESCRIPTION: <br />Lot <br />ustomer <br />Division or Addition _ " ' ' � ' <br />Sewer District _ <br />SEESKETCH ATTACHED <br />�rJSP�.�'TI�'��; <br />A <br />Monthly Sewer <br />Monthly Sewer Constr <br />Approved By - � ' '�� . ' <br />Ciry Engineer <br />_ r. <br />Issued Bv r � - <br />Connection <br />Inspection By�i���-'----� — <br />Date I nspected �a��'/�� 3 _ <br />