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everett <br /> � <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Applicatican an�d Perre�it . , <br /> � �:�,42 <br /> "�� i� '� �I .�� ��I DATL=I_��---- — <br /> N o. ;.,.., - �3�'9'/Z-'G o�v�/�A,e i� <br /> Utility Account Nc <br /> Service Address _ <br /> Connection Permit Fea <br /> Billing Address _ ._ <br /> Connection Fee <br /> City, State, Zip ' <br /> ; Total Fee_ — <br /> Owner IMortga�or) , <br /> Billing Name <br /> Connection By — <br /> '..� -- \ i' � �L I \�. . _, DIcJn2CJ-- Customcr <br /> Address <br /> Phone <br /> � ' <br /> DESCRIPTION: <br /> Lot <br /> Blcck <br /> Division or Addition <br /> $ewer District_ <br /> Monthly Sewer Service <br /> Remarks Monthly Sewer Constr. <br /> ..22�J_e,�,. <br /> � ��� �298 � � %� S <br /> l <br /> Cµ. > !j Approved By Cit} En9ineer <br /> �-a <br /> Issued BY — <br /> ----- <br /> Connection By— <br /> ;4' <br /> :z,�.�� <br /> Inspection By <br /> Date Inspected ��"��� j — <br /> J <br /> SEE SKETCH ATTACHED <br />