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evereri ' <br /> :e � - � � <br /> � ` + � � � <br /> �" � �2' � t% <br /> Y <br /> City of Eve�ett /�� <br /> Engineering Oepartment <br /> ' Sewer Application and Permit ; �� _, `� <br /> _. <br /> N0. 1 O J 7 O DATE — � `..> <br /> Service Address-%� Utility Account No. <br /> � Connection Permit Fee <br /> �, Billing Address <br /> City, State, Zip ' ' Connection Fee <br /> Owner �Mortgagor) Total Fee <br /> i Billing Name � <br /> Connection By <br /> � Address._ � Signed <br /> Customcr <br /> Phone � <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition _ <br /> ' Sewer District -- <br /> � - _" <br /> , Monthly Sewer Service <br /> i — � —; �; <br /> Remarks: ' Monthly Sewer Constr. <br /> . <br /> � � /- � __ , . , <br /> ,� ' ("�. 7 G '^ 4�rrn � GC�� �' � Approved By <br /> City Engmccr <br /> C,l �� �— ISSU2CI BY <br /> Connection By <br /> Inspection By `��' �`�"` J <br /> Date I nspected ���/�3 <br /> :� <br /> SEE SKETCH ATTACHED ��,_��� �,,� <br /> J <br />