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_ . . <br /> . • - � . . . <br /> evereti '" ' � <br /> � �-� � � ^ � � `�� . <br /> City of Everett <br /> C� � <br /> Engineerinp Department <br /> Sewer Application and Permit � <br /> � <br /> ;; :s ;ir� 6 <br /> N0. '�� _- _ , DATE - � ` <br /> Service Address •�'! �` � �� /.: , ' " Utility Account No. <br /> Billing Address Connection Permit Fee ~� '' <br /> City,State, Zip_ .�- � ` " '> ; - <br /> . Connection Fee <br /> Owner (Mortgagor) '. � Total Fee <br /> Billing Name - <br /> Cannection By i r:r. <br /> Address ��.'�. �' � � 7 �. <br /> Signed <br /> � � ' ��f-. � ' ' ' Customer <br /> Phone <br /> DESCRIPTION: <br /> Lot '�� <br /> Block j <br /> Division or Addition_ - <br /> Sewer District <br /> Remarks: Monthly Sewer Service <br /> Monthly Sewer Constr. <br /> ����3� � S � a s '���. �� <br /> , <br /> � � Approved By <br /> � <br /> Crty Engmeer <br /> Issued Qy � <br /> Connection By <br /> Inspection By-_A(��%�-LC�z-u�—� <br /> Date I nspected ��4 f�� <br /> � <br /> 0 <br /> SEE SKETCH AT7ACHED <br />