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everttt , - - " <br /> e � � L ; <br /> City oi Everett i �� <br /> Enpineering Oepertment <br /> Sewer Application and Permit <br /> � �; �� �is <br /> �, .. <br /> NO. � �� C ti � DATE <br /> Service Address_ � � Utility Account No. '-' <br /> Billing Address_ _ Connect�on Permit Fee . �. /l; J <br /> City, State, Zip � ' � � _ Connection Fee " <br /> Owner (Mortgagor) Total Fee <br /> Billing Name . <br /> Connectian By �� ` = 'r � � !' : <br /> Address— ; • - �: � -- Signed <br /> Cusmmer <br /> Phone------ -- ---- ------- <br /> DESCRIPTION: <br /> i <br /> Lot__ II <br /> Block_1_ I <br /> Division or Addition_ <br /> ___ Sewer District___.___ � <br /> — . -- Monthly Sewer Service <br /> Remarks: ; � <br /> Manthly Sewer Constr._ <br /> /�t� `�s`__.�---t—�'�tiP`���.-�`�-",_— <br /> ; <br /> Approved By <br /> �,,����f � �n-�L s �_—,� L '� Ci�V Enginrer <br /> �J- l --d'�r�k �+, <br /> —. ________�� ---- Issued By <br /> ''�-E_C _�'�,� .�-. -��'-+�.1' . `/�� s� � — <br /> -- Connection By_— _ <br /> Inspec[ion By /� '�J��"^�^� _ <br /> __ _ _ Date Inspected '��� �3 <br /> ---- — _ — ------ — — ---� <br /> .Y/ <br /> SEE SKETCH ATT�ICHED <br /> 0 <br />