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everett ��- � <br />. �i <br />-�D -Z�'7=���'.�f <br />e <br />City of Everett <br />Engineering Depertment <br />Sewer Application and Permit <br />No. 20733 <br />DATE <br />, � , i Utility Account No. - — <br />Service ��ddress . <br />Billi�g;�ddress ' ' ' Connection Permit Fee `J <br />City, State, Zip ° � Connection Fee <br />Owner (Mortgagor)_.— � Total Fee - <br />Billing Name " <br />Connection By <br />�� '�%,' Signed � <br />14ddf0S5 — Customer <br />Phone - <br />DESCRIPTION: Sewer District <br />Lot Monthly Sewer Service <br />Block ' ' <br />Division or Addition �� '�'' Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />�— <br />SEE SKETCH ATTACHED <br />irasNrcnu�v <br />Abutting Lot Line <br />N,S,E,W <br />APProved BY : ' <br />CitY Engineer <br />Issued <br />Inspection By <br />Date I nspected <br />No. 20733 <br />