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everetl - <br />City of Everett , <br />Engineering Department <br />Sewer Application and Permit <br />NO. 2018' DATE _ <br />SrrviceAddress <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name— <br />Connection By - <br />Utility Account No. <br />Connection Permit Fee " <br />Connection Fee <br />Total Fee ' <br />Address Signed ' ` °'— <br />_ Cuttorrier <br />Phone — <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition `"=` <br />Sewer District <br />Remarks: Monthly Sewer Service <br />Monthly Sewer Constr <br />''Jecc-s P • -V4-A-O c <br />M <br />SEE SKETCH ATTACHED <br />INSPECTION <br />_zz <br />Approved By - , •% ( ! r.) <br />City Engineer <br />Issued By <br />Connection By Q <br />Inspection 8y A69ert�.�^' <br />)ate Inspected �� <br />