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eve eeit <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 9-1297 DATE <br />1 <br />Service Address 'FA Utility Account <br />Billing <br />Connection Permit <br />City, State, Zip Connection <br />Owner (Mortgagor) Total Fee_ <br />Billing Name <br />Connection By i <br />Address Z� -2 Signed__ <br />Phone -7 .-7 cf — <br />DESCRIPTION: Sewer District <br />ao — Gg. s7- <br />-- j — 7 �c <br />Lot / <br />Monthly Sewer Service <br />Block <br />Division or Addition ,c r_ A _ Monthly Sewer Constr. <br />Type Permit: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />abutting Lot Line <br />N, S, E, W <br />t,pproved <br />ssued <br />City Engineer <br />nspection By <br />late Inspected <br />NO. <br />