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everett <br />City of Everett l �- <br />Engineering Department <br />Sewer Application and Permit <br />NO. Z0285 DATE & — zi <br />Service Address- Utility Account No. <br />Billing <br />Connection Permit Fee <br />City, State, Zip Connection Fee <br />Owner (Mortgagor) Total Fee — <br />Billing Name <br />Connection By <br />Address _ _ t- Signed ^-- <br />cuslonler <br />Phnnp - <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Additions_ <! ' <br />_ Sewer District_ <br />Remarks: -> <br />_ I <br />SEE SKETCH ATTACHED <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Approved By •'. - i <br />C,tV Engineer <br />Issued Bv_.. <br />Connection <br />Inspection By_69 <br />)ate I nspecteclrjl/ %3 <br />i <br />