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everen <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />N0.10431 <br />DATE <br />Service Address *XiFi —" -r" ' <br />Billing Address <br />City, State, Zip <br />[ ? i i <br />_ i 1 <br />%� ' t%y' . r/Fc:✓ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />C <br />L f S C <br />Phone <br />DESCRIPTION <br />Lot <br />Block <br />Division or Addition .'r; ���� �� '�lG• /��' <br />Utility Account No. <br />Connection Permit Fee <br />Connection Fee <br />Total Fee <br />Signed <br />Customer <br />Sevier <br />M <br />onthly Sewer <br />Remarks: J, i%%Q• (, , <br />Mi <br />/ r YYf P t Al <br />azZ ±L___2 t &u Isl <br />C) �! <br />In <br />— — D< <br />:F1 <br />SEE SKETCH ATTACHED INSPECTION <br />mthly Sewer Constr <br />)proved By <br />City Engineer <br />ued By <br />)nnection <br />spection B, <br />to Inspected /-21.,/173 <br />:F1 <br />SEE SKETCH ATTACHED INSPECTION <br />mthly Sewer Constr <br />)proved By <br />City Engineer <br />ued By <br />)nnection <br />spection B, <br />to Inspected /-21.,/173 <br />