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everetl <br />� <br />City of Everett <br />Engincering Department <br />Sewer Application and Permit <br />NO. 2n7TI. DATE �� 2�— %¢ <br />Service Addiess �� 0��j�l G.ii_I_L��UEUtility Account No. <br />Billing Address_�' � M E <br />City, State, Zip���� '�'V 1 <br />Owner (�vtortgagor)�E �� �] Q P�4 <br />—T <br />Billing �Jame � Pt MV <br />����/E GTT <br />Connection By_ GS % E b�7 <br />�� <br />i <br />Connection Permit Fee�Z— � Q <br />�--- <br />Connection Fee <br />Total Fee 1��`C��-3? <br />Address_ �� ��0 G� � hc�. Signed t� C�2nSs�l�2� <br />cu:tomer <br />Phone `��� —' gg�'� <br />/' <br />DESCRI TI N: Sewer District <br />Lot ��r 2 � <br />Block���..� �. � Monthly Sewer Service <br />Division or Addition �_�i�1S �-�S �(] � Monthly Sewer Constr. <br />� <br />SEE SKETCH ATTACHED <br />CUSTOMFR COPY <br />Abutting Lot Line <br />N, S, E, W, <br />Appro� <br />I ssu ed <br />✓ <br />� <br />Inspection <br />Datelnspected <br />No. 20771 <br />