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evereit I � � — �j%�% � °//� �� <br />� � � <br />3'� <br />e <br />City of Everett <br />Engineering Department <br />Sew�r Appiication and Permit <br />NO. ; <br />DATE � '" �� �` <br />ServiceAddress ''' ' �- " "'�` — ' ) <br />Billing Address ' '� � '' <br />City, State, Z�p �'�-' '" �� : . <br />. '. /.,, ... <br />Owner (Mortgagor) �`• <br />Billing Name '. � � <br />Connection By � "J � " �'- <br />Address =' ' � '! �� � <br />Phone ' <br />DESCRIPTION: <br />Lot ' ' � <br />Block <br />Division or Addition ' ' <br />Utility Account No. <br />Connection Permit <br />33384 <br />::� <br />Connection Fee '_� �' � %'� — <br />�. „ <br />Total 'ree <br />Signed - <br />Customer <br />Sewer District -%�' � � <br />Monthly Sewer Sen•�'^ - � <br />0 <br />SEE SKETCH ATTACHED <br />Vlonthly Sewer Constr. "' �� ' -' ' `— <br />� <br />Approved By �� ' <br />City.Engineer � <br />Issuad [3v " <br />Connection By Q�_ <br />Inspection By �Y.n a���`"�'r�"" — <br />Date I nspected=��� `% <br />