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everett "" ' - j D- Z 3- 7 S <br />� �.✓� � _,' i i= t� <br />� '� �/ <br />�% � � � 2 �_ � iJ�'� // `: <br />City of Everett <br />Engineering Cepartment <br />Sewer Application and Permit� <br />NO. <br />Service <br />Billing <br />210 6 � DATE <br />8� Z Z�2D R DW f7 ;� <br />9 <br />Utility Account N <br />Connection Permit <br />City, State, Zip Connection F <br />Ciwner (Mortgagor) _ Total Fee_ _ <br />Billing Na <br />Connactiun B <br />Signed. ' <br />Customer <br />DESCRiPTION: <br />Lot <br />Division or <br />Type Permit: <br />SEE SKETCH ATTACHED <br />If�1SPECTI; �:� <br />Sewer D <br />Monthly Sewer Service <br />Monthly Sewer Canstr. <br />Trunk <br />La:eral <br />Abutting Lot Line <br />N, S, E, W � it. <br />Approved 8Y-- <br />Ciry F.ngineer <br />Issued <br />Inspection By / � �� — ` -�� <br />Date Inspected � Z <br />No. ?_10h�� <br />