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evarctt <br /> �os�ed �{ - 8- 7� <br /> e �- <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> .•, �- n <br /> �ti� 9 � <br /> N0. �..� -� � � � DATE <br /> ?/C 3 Mx►��c <br /> Service Address _ Utility Account No. <br /> Billing Address � Connection Permit Fee <br /> City, State, Zip Connection Fee yn7 �'��* . <br /> Owner (�9ortgagor�_ Total Fee <br /> � <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Custamer <br /> Phone <br /> DESCRIPTION: <br /> Lot <br />• Block � �� <br /> Division or Addition <br /> Sewer District <br /> Remarks: • <br /> Monthly Sewer Service <br /> Monthly Sewer Constr. <br /> (� "� cd'^^� `�, ��aw.���d�s� `/3 � C`..�.,.� <br />� 5% � - i��. �Z �' � �-�- � APProved By <br /> Gry Enomeer <br /> � " '� -�°'^,.L�_ <br /> Issued By <br /> �rY7_'L-�� t�iLrt�� ,�-A,� l'te�0 ,/ r <br /> �� 7� s� C:2.,��, _ � �`�� Connection By � <br /> Inspection By �'�� <br /> Datelnspected ���73 <br /> .� <br /> SEESKETCH ATTACHED <br /> IhJ_, _i'.11�:�'i <br /> � <br />