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h <br />� <br /> everett. � — f ` ` � . <br /> � / ' <br /> City of Everett <br /> Engineering Depertment �. - <br /> Sewer Application and Permit /(/'/,/�� <br /> I V �.� '. C:- � I <br /> 4 �. t� -f' <br /> NO. :+'! �� �- ' - DATE <br /> Service Address o.���1 ///>/, �J �SUN �iJ Utility i,ccnunt No. <br /> r Billiny Address Connection ?ermit Fee <br /> City, State, Zip � '� � �� ' " Connection f�ee <br /> Owner (Mortyagor) � . Total Fee_ <br /> Billing Name _ <br /> Connection By .- � <br /> / <br /> Address • � ' �"� � ``��1 Signed _ <br /> c��,i��„« <br /> Phone <br /> DESCRfPTION: <br /> Lot <br /> i Block <br /> Division or Addition_ -' � � <br /> ___�_L� _Sewer Districr _.__ <br /> Monthly Sewer Se•vice <br /> Remarks: i ;, i+;'/.'. - ,;,� ' <br /> Monthly Sewe; Constr. -' <br /> l, �! ' �_�l�a�' �>.Q �� e� <br /> </r /� � (j� Approved By_ __ _ <br /> N 1 l9 G— �C���"K: � City En9incer <br />' Issued By _ <br />' ��. c4-�.ti... <br />� <br /> i <br />` — Connection By_ <br />� �srS.�P, �1�7/.21�8 1� ���.-� <br /> Inspection By_�,.� <br /> Datc Inspected_l�i 7�7 v _ <br /> .� <br /> SEE SKETCH ATTACHED <br />