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.. . ., . ' ^ I � � � � � <br /> evereK <br /> � <br /> City of Everett <br /> ' En�innerin� Dep�rtment <br /> � Sewer Application and Permit 3 2 3 9 0 <br /> NO..10 0 5 6 � DATE <br /> / 70 2 l,��«,�yi'— <br /> Service Address AI/,i. Utility Account No. <br /> Billiny Address Connection Permit Fee '" <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Cusmmer <br /> Phone_ s'� <br /> DESCRIPTION: <br /> lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> Monthly Sewer Service ''` <br /> Remarks: <br /> Monthly Sewer Constr. '"� <br /> Io �� ,.fa � - � <br /> �a.0 l' '7� d �'('.w <br /> �—►�`� � � _ . <br /> � y Approved By <br /> ��� �� �J �� � ^ i ) Ciry Engineer <br /> Issued By <br /> �'l� C(3 -a.� 3 3 �' w � ) �.,� c�—� �r� �c?-� <br /> r � "'` � Z � � `�� Connection By <br /> �, yy� . • �,A _ . <br /> Inspection By n 'r� �t���-�'�-^� <br /> Date I nspected_ i��Z��� � <br /> . <br /> :m <br /> SEE SKETCH ATl'ACHED <br /> IfH�PECII��N <br />