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i_ - �; - �, - <br /> everett ' � <br /> e �--� <br /> ; <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Applicction and Permit <br /> rvo. �0130 DATE , �: • . 32535 <br /> , _. <br /> Service Address- _ - � � "� .. . +.: ' _ Utility Account No. <br /> Billing Address c Connection Permit Fee "=� ' <br /> City, State, �ip -� ` ' ',� �;t=-7T Connection Fee - " <br /> Owner (Mortgagor) = _- -rt_"ri _ - - Total Fee - % - - <br /> Billing Name_ - <br /> Connection By - � ; _-� t_ T T - : � � ". <br /> Address_ ' ?. •r �-� `; Signed <br /> Cusmmer <br /> Phone _ -' <br /> DESCRIPTION: <br /> Lot� <br /> Block__,-- �� � . <br /> Division or Addition � . ' <br /> Sewer District -' <br /> — Montlily Sewer Service <br /> Remarks: , ��_ _ ��,.� <br /> Monthly Sewer Constr. _ <br /> �-�,..��. Q�..�. ����:�..,�t <br /> ��T--�y—,p —/� '/ , Approved By % - <br /> Je1.t.C�1 O.� �/Y' !bf �/� �� �J CitYEngincci�. <br /> , � , Issued By <br /> !���,J� " ���Ze rze,,��-� -��z� � <br /> J <br /> — Connection By <br /> Inspection By._1r'.1'(% C� ��ru.,._ <br /> Dat� Inspected���j <br /> � <br /> SEESKETCH ATTACHED <br /> IflS{';_.. . � . <br />