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� . <br /> _eVerett I � - � I - �- <br /> � '� - � ''���� �-� ��=f_� � <br /> Y� <br /> City of Everett <br /> � Engineering Department <br /> Sewer Application aR� Permit <br /> � ��.s �J 6 9 <br /> I NO. �'0399 DATE — _ � J <br /> Service Address � " < ' Utiiity Account No. <br /> Billing Address Connection Permit Fee - ` <br /> City, State, Zip � Connection Fee <br /> ; . <br /> Owner (Mortga�,;�r) � � Totai Fee ' <br /> BillingName % %'" <br /> � Connection By ` ' ,!ii2 l� /_ .-_�'�=-=�— � %i ; <br /> � ' <br /> Address �� '�=��T � _ Signed ' (� � <br /> � . <br /> -• 1 customar � <br /> � Phone <br /> . � <br /> DESCRIPTION: <br /> i . <br /> � Lot <br /> � Block <br /> � <br /> Division or Addition � % r ' ' <br /> Sewer District <br /> Monthly Sewer Service — <br /> Remarks: -' .� ;;: _ _ - <br /> Monthly Sewer Constr. <br /> , ,y:' ' .�J H e� � y._�. zo ' & r c.,,.-,.� -!� a' � <br /> Approved By • � <br /> � �� o Ciry Enginccr <br /> �L'r—�. �✓`LA..v�'J�_ _._ <br /> _. Issued By <br /> _ — Conrection By <br /> Inspection By �� - <br /> Date Inspected � %- ��� 3 <br /> .� <br /> SEE SKETCH ATTACHED _ ,.� , ,, <br /> � <br /> i <br /> � <br />