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i— : _`'�. � <br />everetf <br />e <br />��<< <br />� <br />City of Everett <br />Engineering Department <br />Sewer Application and Perrr�it <br />N0. �.O l� J �� ✓ DATE _ <br />220� Mc,�1���-;q�� <br />Service Addres. <br />Billina ^.;;uicz, <br />City Sta[e, ZiF <br />Utility Accaunt No. <br />Connection Permit <br />Connection F <br />Owner (Mortgagor�__ Total Fee <br />Rilling Na <br />Connection <br />Signed <br />DESCRIPTION: <br />�ot � — y <br />Block�_Z3 � <br />Division or Addition �-� �� �� <br />Sewer D <br />� <br />SEE SKETCH ATTACHCD <br />II�.. � -�.. . <br />Monthly Sewer <br />Monthly Sewer Constr <br />Approv�d B <br />Iy Engmcer <br />Issued By _ <br />Connection B <br />Inspection By ��-'� �`1 ��''n'� <br />Date I nspected \ � � <br />� <br />