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everr� <br />e <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 20816 DATE <br />ServiceAddressliz6'/' <br />J <br />Billing Address�:1, <br />City, State, Zip v/- <br />Owner (Mortgagor)—_ 'X <br />Billing Name — <br />Connection By <br />Address <br />Phone— <br />_j <br />DESCRIPTION: <br />Lot =L <br />Utility Account No.-3; (- .i / - 0 <br />Connection Permit Fee S'�! % Jr j <br />Connection Fee <br />Total Fee <br />Signed <br />Customer <br />Sewer District— 1, ,ZZ <br />Block Monthly Sewer Service— /� <br />Division or Addition !.r 1414d47" Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Trun <br />Abutting Lot Line <br />N, S, E. <br />Approved By <br />UtY Engineer <br />Issued <br />nspection By / <br />)ate Inspected �[Z /3 — %�/ <br />01 <br />NO. 20816 <br />