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. _ . , . <br /> r' ' <br /> t <br /> everett , I -, `� f ` `' <br /> .� � '�,. ��� � <br /> �- � � ���, <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> � �ii � �; <br /> N0. %3-037J DATE ` ' <br /> Service Address i ' -- � ` Utility Account Na <br /> Billing Address Connection Permit Fee <br /> City, State, 2ip • ` Connection Fee_. <br /> Owner (Mortgagor) Total ree <br /> Biliing Name <br /> Connection By _ <br /> Address — -"/ - � Signed <br /> customcr <br /> Phone ' " <br /> DESCRIPT. ION: <br /> Lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> Monthly Sewer Service <br /> Remarks: ;. � <br /> Monthly Sewer Constr. <br /> k a ",_ <br /> �� w..,,-.,_.._ — APProved By !�c �L, , <br /> Ciry Engincer <br /> n � �� '4 lc � GU ISSl1CCJ By <br /> Y <br /> w � <br /> Connection By <br /> Inspection By � t=���r � <br /> Date Inspected ��ZS �3 <br /> :PI <br /> SEESKETCH ATdACHED <br /> ��„r,_ ;�,, <br />