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- , . _ <br /> r <br /> svere4Y _ , _. t' -� ; <br /> � I I r^ � � � <br /> City of Everett <br /> Engineering Departmeut <br /> Sewer Application and Permit <br /> , <br /> � � � �f5 <br /> No.10441 i' DATE - - ' <br /> Service Address ' % ' �` ` Utility Account No. <br /> Billing Address � Connection Permit Fee - "' <br /> City, State, Zip ' ' � � � Connection Fee <br /> ' Cwner �Mortgagor) � ' - , � . % ' Total Fee - ` <br /> Billing Name f' <br /> Connection By �. - _� ;"/��: / �! <br /> Address ' � ' �- � ' ° ' � Signed !-!. ' :::-L':' � <br /> , . . . . , . . . . �, ,� Cusromer �. ` <br /> Phone <br /> DESCRIPTION: <br /> Lot _ <br /> Block_ . <br /> � Division or Addition - <br /> � <br /> , ewer Distnct <br /> Monthly Sewer Service <br /> Remarks: ���j. ' -;�_ ;;" <br /> Monthiy Sewer Constr. <br /> � �'D � 9� /S � S l�/ Go�..... APProved By � � <br /> �, Gty Engincur <br /> i — <br /> � <br /> issued By �- <br /> Connection By <br /> Inspection By ����-✓ <br /> Datelnspected �'2��`���3 <br /> � <br /> SEESKETCH ATTACHED <br /> i ,�;��,- -���i:�;y <br />