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. _. _ . , .� . <br /> �; - - <br /> everetl <br /> � <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Application and Permit <br /> 32�52 <br /> No. 2 0 0 8 6 '� dATE <br /> Service Address � �y �'�' ` Utility Account No. / ' <br /> BillingAddress=�'�� �''�''�''� `J�` ConnectionPermitFee � <br /> /L ._ <br /> City, State, Zip �r ''' % ' �/r'� l ' - � ' Connection Fee ' � ' � <br /> Owner (Mortgagorl_ �'� 'f"� '� Total Fee "�A-� <br /> Biiling Name � '� �� <br /> ; <br /> Connection By `' ' ` " --'— <br /> , � , 1 a , , <br /> Address � �+ -�j "�' '' i= Signed <br /> ; �ti ,. �.. ,_�;: . . Gusmmrr <br /> Phone . : ` � � � � <br /> DESCRIPTION: <br /> Lot <br /> Block � � <br /> Division or Addition -- <br /> Sewer District — <br /> � Monthly Sewer Service <br /> Remarks: -'�.- , ; � �r , ., �_ •-, <br /> Monthly Sewer Constr. <br /> . ., ,� � . �- � -7� ��r/ <br /> '� ' �� i ia` �7�/'�a( 5C�C2G q�proved By <br /> Cily Enginenr <br /> (/Z � � $��� '�� Issued By , <br /> �u�. .i' . __ — , <br /> Connection By <br /> Inspection By ' �� ""«^-� <br /> Date Inspected �� 3a�'� v <br /> 7 <br /> SEESKETCH ATTACHED <br />