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� <br />;` <br />'i <br />� <br />� -- -� . _ <br />� � everett - � > > _'� _ � <br /> e �-�, �;, � <br /> ; � ; <br /> � <br /> �,�.�� <br /> , ,�. �.�- �,`�„�� . <br /> City of Everett Jl' <br /> Engineering Department , <br /> Sewer Application and Permit s �;; �2 , <br /> No. .10254 DATE ^ <br /> ///3 ; ;: <br /> �'' �''-' . Utility Account No. <br /> Service Address i <br /> Billing Address <br /> Connection Permit Fee � <br /> City, State, Zipr ' � Connection Fee � <br /> Owner (Mortgagor) • '� ' Total Fee_ <br /> � <br /> „_ , <br /> Billing Name .' �:' ''�` <br /> Connection By " ` '� � � � <br /> % �� Signed <br /> AddfC55 �`�, _ Customcr - � <br /> Phone ~ . <br /> DESCRIPTION: <br /> Lot <br /> Block � _ <br /> Division or Addition ' , <br /> Sewer District <br /> Monthly Sewer Service <br /> Remarks: , <br /> ,; <br /> � . Monthly Sewer Constr. <br /> . • <br /> � ��d..cti. �, �`"`' Approved BY <br /> Ciry Enyincer <br /> Issued By <br /> Connection By <br /> Inspection By %� ��-��-�"'"�'"� <br /> Date Inspected � 7 <br /> � <br /> SEE SKETC:H ATTACHED � �,,��_ ,,, ..'I, <br />