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i <br /> � <br /> eveFett � <br /> ,� � <br /> � ,�'� ��� o�� ?�'%� �_�- <br /> � � � -- <br /> City of Everett <br /> Engineeriny Departarv:�� <br /> Sewer ��p�ec��� ��n and Perm�t <br /> Jtiii � ? <br /> N0. �<',U � �' DATE ----- ----�—�--- <br /> Service Address Utility Account No. ' <br /> Billing Address__ — Connection Permit Fee _ � _ <br /> � <br /> City, State, Zip __. Connection Fee_ _ <br /> Owner (Mortgagor) __ Total Fee _ _ <br /> Billing Name_ _ _ <br /> Connection By <br /> Address_ Siyned ___ __.__ <br /> c,����:n�� <br /> Phone _ _ _ <br /> DESCRIPTION: <br /> Lot__ <br /> Block._ ,ji� <br /> Divi;ion or Addition_ _ <br /> Sewer D�strict_ <br /> � M�nthlySewerService_._____, ____ <br /> Remarks: , <br /> Monthly Se�ver Const:._.___ __ <br /> �- y - �ti,, t �.,�f�.r � ,�� "C - - <br /> — — Approved By_ _ <br /> �/� � ` `�' City Engineer <br /> w <br /> '..F�`s'—..f—� --'-�^ .r Issued By_ <br /> — — — ' Conrecuon By <br /> Inspection By—,�' ����-�—"' <br /> �C�atelnspr.cied_ 7����72 / <br /> — TT <br /> � <br /> �, <br /> - -=----1 <br /> SEE SKETCH ATTACHED <br />