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t, <br /> ti <br /> � <br /> eve�tt <br /> '� �� . .- �' C, � <br /> � -, __ - �. <br /> J '- /_''- i <br /> . . . . ,� -��-� <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Ap�ali��tion �nd P�rmit i 3�� ; s <br /> NO. :,..0 2 71 DATE `� �" - - I <br /> Service Address ''�=-• _� '. �-`"`�� '�•' � Utility Account No. <br /> Billing Address --�_ -=-C--: L��I'i�_''=i�:-;=:1==1`_�`.� ` .; i <br /> Connection Permit Fee <br /> � ` � r�r ' � ' ,_-. <br /> City, State, Zip ����_+ � �` �.� � '�-� Connection Fee . � <br /> `t`�� i� ,! ` i - <br /> S <br /> �;,,, .,�• " Qwner (Mortgagor) h1-1�1.."\'. �a 1'i- 'r�(-1--:i� Total Fee <br /> �` . - - <br /> r ` - <br /> Billing Name �' ;�--.:�` --L�C= Y � `._�-��;� \ <br /> Connection By �- \!�'. 'F__i==t'� f :�� 4-"-�r�.C_:�,= <br /> Address '. •,`�• .�-���'� Signed <br /> Custumer <br /> Phone. ' " " � � <br /> DESCRIPTION: <br /> Lot � <br /> Block '� � <br /> Division or Nddition ' _�1. '� ' ' `�-�` -=- � ��• - '- <br /> Sewer District <br /> Monthly Sewer Service � <br /> Remarkr. - � � ,��� ,�.... ";1 l,.�� <br /> Monthly Sewer Constr. <br /> l " (�-,z�, � ����-� � <br /> � <br /> n (� Approved By r:` , r > >,�.;: - 1 � '� <br /> � r /`u F S � .O�.nlf n y� �� r Ciry Enginuer � <br /> Issued By _ <br /> Connection By <br /> Inspection By ,�L -/ �^-- �—� <br /> Date Inspected C �2G /� 3 <br /> � <br /> � <br /> SEE SKETCH ATTACHED <br /> �id�P' CTION <br />