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�'— <br />�o_ <br />.10 <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 20625 <br />Service Address <br />Billing Address <br />City, State, Zip <br />DATE _- <br />Utility Account <br />Connection Permit <br />Connection F <br />U <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection By ./2 z Al ETRO//06 /7,1 A/ GoAJS, Co • /�VG - <br />Address h ) /%��m ' ' Signed +*+� 0 „� 6zta <br />�- T Customer <br />Phoneme <br />DESCRIPTION: Sewer District <br />Lot <br />Monthly Sewer Service. <br />Block <br />Division or Addition Monthly Sewer Constr. <br />Type Permit: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />Issued <br />Inspection By K.Cull <br />Date Inspected <br />NO. nl)i 5 <br />