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�.:ett <br />� <br />City of Everett <br />Engineering Department <br />Sewer Application and Perrnit <br />NO. i' )_ �' :ii .,G, DATE <br />Service Addre <br />2::'�ng Addres <br />City, State, Zi <br />Owner (Mortg <br />Billing Name_ <br />Connection B� <br />DESCRIPTION: <br />Loi <br />Block <br />Division or Addition <br />Type Permit: <br />Utility Account Nc <br />Connection Permit <br />Connection Fee <br />Total Fee <br />�Q s �'c� <br />/�-/�- �_ yr <br />�-zr-�r <br />,�� �c. <br />Signed � <br />Custamer <br />sttsKtTCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer �onstr. <br />7runk_ . .3 Z <br />Lateral 3; d a <br />Abutting Lot Line <br />N, S, E, W_ •— /O % ft. <br />Appro�•ed By � <br />Ciry Engineer <br />I ssued <br />nspection By <br />)ate Inspected_�-20-7 <br />No. 21243 <br />