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everett � ) _ <br /> � — <..� _ � ,; � — `� <br /> � , � <br /> I�St-t. o l0 - 1 & - 7� <br /> City of Everett `-�v <br /> Engineering Department <br /> Sewer /a�apl�cation and Permit . <br /> � � .. <br /> J :_ . �. .� <br /> NO. ��O 1. i Q / DATE . -- -- <br /> Service Address <br /> !' _ u�e- Utility Account No. — - <br /> Billing Address -- Connection Permit F_e <br /> City, State, Zip __ Connection �ee -- <br /> Owner (Mortgagor) - - _ 1'otal Fee____ --- — <br /> Billing Name <br /> - � �;f � ; ; / <br /> Connection By — <br /> ' " , r Signed <br /> AC�dfB55 - �� - Cusmmcr <br /> . ' ._ ,?"} � : ,. . .. <br /> Phone <br /> DESCRIPTION: <br /> Lot_ � <br /> Block � / <br /> Division or Addition — �-� <br /> Sewer District <br /> Monthly Sewer Service <br /> Remarks " " . �� <br /> ' Monthly Sewer Canstr. <br /> Yl�L�d�,,. `7- [ '' �-h�"o-7� 5 F'�C' '7 <br /> Approved BY c��v E����e�� <br /> Y ,��� � �.Q .�_ � � ^ f . <br /> f— <br /> Issued By -- <br /> Connection By—__— ---- <br /> Inspection BY D"�-'�G'—� — - <br /> Uate liis{,ectecl � i z���� <br /> �--,---�------ <br /> ; - - <br /> - 1 <br /> SEE SI(ETCN ATTACHED Ii�;SPECII���� <br /> .,n x�ys— . ;.- T .a• � <br /> '��'��!I�-�.�"'� �'i,��""�"°�'�.b+i ��,��� ���-ii ;'�^�4�e� � 'N_4Y�7�\r� <br />