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evereft <br />� <br />City of Everett <br />Engineering Uepartment <br />Sewer Application and Permi� <br />N0. 2.I_ L� Li ;; .� DATE <br />%' �, <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner jMortgagor <br />[iiiling Name ��,Q��%���r� - -^ ���'� <br />� <br />Connection Bv <br />Add <br />Utility Account Nc <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <br />DESCRIPTION: Sewer District <br />Lot <br />Block Monthly Sewer Service. <br />Division or Addition Monthly Sewer Constr. <br />— Trunk <br />Type Permit: <br />SEESKETCH ATfACHED <br />INSPECTIOP� <br />Latera <br />Abut?ing Lot Line <br />N, S, E, W <br />Approved <br />Ciry Engineer <br />Issued <br />Inspection By ����`�' <br />Datelnspected �/.27��%' <br />No. 214/45 <br />