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� ,` �/... ir. . I - <br /> wvereK 7 C? ' - - <br /> ._^ � <br /> e -. � <br /> y"'r ✓ ��y l��/ <br /> % �- ��=:rD � f � <br /> ; /I✓� ,, <br /> City of Everett �� <br /> Engineering Uepartmr.nt <br /> Sewer Application and PQrmit <br /> � h�1 33;.45 <br /> N0. L�� 492 DATE "' . - i <br /> Service Address a � �� FUL7�N Utility Account No. <br /> � <br /> Billing Address Connection Permit Fee " <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee " <br /> Riiling Name <br /> Connection By " <br /> Address ' Signed <br /> Customcr <br /> Phone_ . - <br /> � <br /> DESCRIPTin�;: <br /> Lot <br /> i Block <br /> Division or Addition <br /> I <br /> Sewer Distric[ <br /> Remarks: <br /> Monthly Sewer Service <br /> Monthly Sewer Constr. <br /> ; - — ,. �d <br /> / � . <br /> Approved By <br /> � � A^� `a���e� Y � S $ •� � � i City Enginecr <br /> . _ r �� <br /> I <br /> � <br /> � Issued By <br /> � � � <br /> ��`.��� <br /> Connection By <br /> Inspection By /�/Y.r ��- � <br /> Date inspected ��'�7/�y <br /> I <br /> .pi <br /> ' SEE SKETCH ATTACHED <br /> IDlcl'L(:TI(�;•! <br /> —c. <br />