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everett � <br /> � , � . � ��� s, <br /> � , <br /> , .; <br /> City of Everett - ' ` ' <br /> Engineering Oepartment <br /> Sewer Application and P�rmit <br /> , � <br /> , �<�;32,� <br /> �, ,,, _ <br /> NO.�.-�- � �L6 DATE <br /> Service Address_ / / Utility Account No. <br /> Billing Address _ � — Connection Permit Fee " � <br /> Cit;�,State, Zip ' , Connection Fee <br /> Owner (Mortgagor) ' '� Total Fee � <br /> Billing Name <br /> Connection By <br /> Address , ,•. ,, -- j Signed ' , <br /> Customer <br /> Phone - '' . <br /> DESCRIPTION: <br /> Lot — <br /> ' Block . '� <br /> Division or Addition > �� � � ' f' % -' " <br /> Sewer District . <br /> �� <br /> IVionthly Sewer Service <br /> Remarks /` �S <br /> ��,� c.��. �� <'' `. ', ,i, � <br /> Monthly Sewer Constr. <br /> , , <br /> GCa,,, '`-l " ��y. -�«.�,.,`. - y c_.T G-�..,.az. <br /> � <br /> � Approved BY - /_.� ;: . . <br /> C � �G�j � - n Ciry Enginccr <br /> �..��C� <br /> — Issued By <br /> Connection By <br /> Inspection By_ � "` C" (��, 1�.,., <br /> i <br /> ! Dateln;pected_ ���' ��3 <br /> zJ <br /> SEE SKETCH ATTACHED <br /> Ii1SPGCi IOi.! <br />