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. -� - r <br /> ever<,tt � <br /> �e �. � <br /> , � . <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Application and Permit <br /> :� 3382 <br /> � <br /> N0. ' DATE <br /> Service Address "`"/� •-' " " ° ' ! Utility Account No. <br /> Billing Address_ '�` � Connection Permit Fee � <br /> � 1 <br /> City, State, Zip � /_L � • ' " Connection Fee <br /> Owner (Mortgagor�'��'��'t ' % %'��= � i !' " Total Fee <br /> Billing Name - - a / 1`� <br /> Connection By ;: i; /'';`i %J/�Gi!i'-- , �- � <br /> i^ /, <br /> ' / i:� ; <br /> Address � ✓��^ � - = .�L,%7 Signed /.'� , < .'._</..�.' <br /> Cusromer <br /> Phone 5 =� - '-_r,� -S �-� <br /> DESCRIPTION: <br /> Lot_ '' <br /> Block � <br /> Division or Addit�ion . �'- �`i���� ���'�� �-� <br /> Sewer District <br /> Monthly Sewer Service - <br /> Remarks: ' :'�' :-- v.- �-S�,L <br /> Monthly Sewer Constr. <br /> � � �".' '�'Z APProved By .' r % <br /> Ciry Engineer _ <br /> �n %,�iQ.el,fP �- �c(� ��s C�,,�1 C� Issued [3y - - <br /> Connection By <br /> Inspection By AL�-r-��'��""' <br /> � <br /> Date Inspected '����7 Y <br /> ��—� �., d <br /> _:I; <br /> ;,,� <br /> -:. :',C:��r...� <br /> 0 -"`��=''=,::.--,,; <br /> 5EE SKETCH ATTACHED <br /> ;�('i. <br /> es, - <br /> �, y <br /> „eGl` <br />