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everett � <br /> C <br /> dos T E � /Z-3/- 7y <br /> City of Everett <br /> ���� <br /> Engineering Department <br /> Sewer Application and Permit 32660 <br /> NO. 1-0 19 1 DATE <br /> Service Address ~` ? Utility Account No. <br /> Billing Address + o Connection Permit Fee <br /> City,State, Zip t Connection Fee <br /> Owner (Mortgagor) IL'r 1 r f t v v r, I Total Fee <br /> 4 <br /> Billing Name <br /> 1 t <br /> Connection BY <br /> Address k' ` :_lk a Signed <br /> Customer <br /> Phone F' <br /> DESCRIPTION: <br /> Lot r <br /> Block - <br /> Division or Addition /it Cit. 11A,It Nr M r• ` <br /> Sewer District <br /> _ Monthly Sewer Service <br /> Remarks: <br /> ( Monthly Sewer Constr. <br /> '71V �S ;7Yl� Approved By <br /> cuv Eoaumur <br /> Issued By — <br /> y '',t'rc <br /> Connection By <br /> Inspection By ��•���•• <br /> Date Inspected 41-317.) <br /> — <br /> ID <br /> SEE SKETCH ATTACHED <br /> cJ5PEC1 I17N <br /> rr <br />