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CVCfC!3 -"� ��/} . <br /> �/o N � f � .:1..-�� � 14�� r_1�4.f;' L-,I�„ �I '.� Z " . <br /> �,{) T7_�,a.•�,+'ir2.;:� <br /> - hk.� /C, �; . <br /> City of Everett <br /> I J I <br /> Engineering Department , <br /> 1 . .�Fe �,.� ^,° ^� i � � <br /> ��•, ��" �����tbl'�I! E�I� ��f��l ��a.'�Qll��� <br /> +�. ,.., �,'r'.% �<.: <br /> .52 0 <br /> _ Z3z <br /> r;o. 21_ 1 5 8 �ar� ---- -- -- .,� <br /> S�r��ice Address _ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee ' <br /> Owner (Mortgagor) Total Fee �' <br /> Billina Name <br /> C.�nnectiun By <br /> :�;riress Siyned _ <br /> Customer <br /> ?h0(le <br /> D[S;CRIPTION: Sewer District_ <br /> Lot_ <br /> Monthly Sewer Scrvice___ <br /> Black_ ---- -' <br /> Division or Addition pnonthly Sewer Constr. <br /> -ype Permir. - — Trunk _ ' <br /> Lateral <br /> ';.�marks: <br /> - Abutting Lot Line <br /> _ � :a �?� � S N, S, E, W — it. <br /> _ . <br /> �_ �PP�ovcd QY---- <br /> _ _ ' City Enpinecr <br /> Issued By <br /> _. <br /> Inspection By _ <br /> - — - ------ '' - __JDate lrspected� I <br /> _ �.::- .�:� � :�, ; ; . ; , �' 2� 1 II 7 ,....,z rvo. 21158 <br /> ._ . .. � i � � 3. " <br />