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;,� <br /> OVI YfPIi � . • <br /> �...K�... <br /> � � �� � � � �� <br /> � �� <br /> � � ' 7 � Uv <br /> City of Everett � <br /> Engineering Department <br /> Sewer Applicction and Permit ��.t,7 � : <br /> No. 20616 DATE - - - - <br /> Service Address —'�" Utility Account No. <br /> Billing Address Cannection Permit Fee � <br /> City, State, Zip � Connection Fee ���' <br /> � � <br /> Owner (Mortgagor) � f�tal Fee <br /> Billing Naine <br /> Connection By <br /> Address Signed <br /> Customer <br /> Pnone - <br /> DESCRIPTION: y � Sewer District -_ , <br /> __�� <br /> Lot � Monthly Sewer Service_ <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk % <br /> Type Permit: <br /> Lateral " <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> . � � � <br /> -�'���� <br /> —�T Approved By ' - � <br /> CityEnglneer - <br /> Issued By -- <br /> Inspection By �0_-�'��""� <br /> Date I nspected �L=pf?7 <br /> a <br /> SEE SKETCH ATTACHED N�• �� C O 1 6 <br /> �P!'31'CC"I10�I <br /> —i__'' <br />