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, <br /> . �vereltt ,--- I . _ <br /> � �� �� ��� � � <br /> � � � �� � � � � � <br /> ��- � _� � r <br /> 1 c G�� �./l�-. <br /> I1 �f '� ' � � <br /> City of Everett 1'� ; <� <br /> �. : r;� <br /> Engineering Oepartmeut <br /> Sewrer Applic�fion and Perrnit <br /> NO. G—O�IS � � DATE J :3.� 7Q <br /> Service Address 2 —,��/ �2 Ty T <br /> I <br /> Utility Account No. <br /> Billing Address L , _ <br /> Connection Permit Fee <<` �— <br /> � City, State, 'Lip i' _ <br /> Connection Fee <br /> Owr,ar (Mortgagor) � ^ � , i -... � <br /> ' � _ Total Fee <br /> , Billir.g �;ame - <br /> Connection By _ ' <br /> /� <br /> Address .J <br /> _ Signed • <br /> —_— <br /> PhOf1C_ ' ' ' � -. , Cusmmer <br /> DESCRIPTION: <br /> Lot 'l <br /> Block <br /> Division or Addition_.:� " � ' ' --' ''> <br /> Sewer District <br /> �_ — <br /> Remarks .;;,:; Monthly Sewer Service -- <br /> —__ . i ----- <br /> —�_ <br /> ---- Monthly Sewer Constr. <br /> �, . <br /> 8 � i7 � s,r :C` 2y� , <br /> s � � <br /> APProved BY �.;i� <br /> City Engincer <br /> '„ ---�� " �2�' %z w d ' <br /> —� '��2o3 - � �Qr� �� �p IssuedBy <br />� �'Jp/ _ „7 �a3 �� Connection By <br /> i <br /> Inspection By �.;�r�C���2Cs� <br /> --__ <br /> Date l nspected � y`� �cJ <br /> _v7 <br /> SEE SKETCH ATTACHEU <br /> � "`iSP�r�:;kif� <br /> — r_- <br />