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cverctt <br />City at Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO..,iL)?66 <br />DAli 1 <br />Service Address -' t I—' % J � J` 1-- Utility Account No. <br />Billing AddressConnection Permit Fee_ <br />City, State, Zip 1� •r y..,/ <br />Connection Fee <br />Owner (Mortgagor)-- re.41 f �/ ' ^ vt- Total Fee <br />Billing Name .-. c, I 'r <br />Connection BY.. F "T/f',: !r All <br />Address - �2 r :Signed Y <br />Customer <br />Phone__ - % �"• �- <br />DESCRIPTION: <br />Lot 7 <br />Block <br />Division or Additionc Y 7- <br />_ Sewer District <br />Remarks: �- Monthly Sewer Service <br />/ Monthly Sewer Constr. . ' <br />SEE SKETCH ATTACHED <br />Approved By / <br />Ctly Engmenr <br />Issued By 1 <br />--- Connection By <br />Inspection BY___LJiA;;- _ <br />Date Inspected�/_z�, <br />INSPECTION <br />