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i <br />� <br /> r� <br /> everett .� �� �i� � .r - �i:; <br /> e � � �� ��� � <br /> �� �.� , - <br /> � � <br /> City of Everett <br /> Engineering Department <br /> Sewer Ap�plication and Perm�t � <br /> ,, _ <br /> � � �� � <br /> N0. DATE <br /> Servi;.e Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Addr?ss Signed <br /> Customcr <br /> Phone <br /> UESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition <br /> Sewer District <br /> _ Monthly Sewer Service <br /> Remarks: - o - <br /> Monthly Sewer Constr. <br /> .�./�/� � 0)7Hv� r�' — 1?w_.l.r� � ,U� � <br /> i ����e � �.e iG�'� t el- l�,• !' c,c�r/?ef . <br /> � <br /> . <br /> .10" � ' P ' �' Approved By <br /> Gry Engineer <br /> LU�/e. _ <br /> '1�io /P/..a - .vuTsT - � Issuedl3y <br /> , <br /> oF �" /'.�� iafv New cvyP <br /> n , � �« -" ° Connection By Sc' rr �c ti' �De n`� <br /> Inspection By <br /> i/ <br /> Date Inspected ?� � ��,� � �� <br /> 0 <br /> SEESKETCH ATTACHED <br />