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/, -, ��) _ �� <br /> everett � � � — � <br /> � .� C �i <br /> e ��,�t.� , <br /> � 5 U�,"1'' <br /> ' � � �� <br /> City of Everett , <br /> Engioeering Depanment <br /> Sewer Appl��ation and Permit 3 z��s <br /> NO. �OO9H � DATE - _ <br /> 2�// f�ec�; fi <br /> Utility 4ccount No. <br /> Service Address _ ' _ <br /> ^.,,�i Connection Permit Fee <br /> Billing Address �p� ��� <br /> Connection Fee <br /> City,State, Zip —"�� <br /> Total Fee <br /> Owner (Mortgagor) <br /> Billing Name <br /> Connection By <br /> Signed Customer <br /> Address <br /> .�— <br /> Phone <br /> DESCRIPTION: <br /> Lot�— <br /> Block�-- <br /> Division or Addition geWer District <br /> Monthly Sewer Service <br /> Remarks: Monthly Sewer Constr. <br /> � � n �� �a � � � <br /> QppfOVed BY �itv Engineor <br /> C.�ll f <br /> Issued Bv <br /> ------- <br /> __— Connection By <br /> _� n ��..:,t2-il�«-� <br /> _---- Inspection By�-y---�— <br /> — � �� Z��3 <br /> Datelnspected <br /> :m <br /> SEE SKETCH ATTACHFD ,. :,�„- _���,�i1 <br />