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fV r-... <br />< <br />City oi Everett <br />Engineering Department <br />3s"2�r �� <br />�-- ' �^ J ��� k�� j A.�}�„�, <br />V°" <br />Sewer Application and Permit <br />N0. 20701 DATE <br />Service Address.���i ������z—,��- <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />� <br />Connection <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Address Signed — <br />. � . Customer <br />Phone <br />DESCRIPTION: Sewer District "� <br />Lot _��� Monthly Sewer Service , <br />Block � q // <br />Division or Addition �� S' �--/ — 7 Monthly Sewer Constr. <br />SEESKETCH ATTACHED <br />Ii�151'C�'. I���i�' <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Enpineer <br />Issued <br />Inspection By �'� <br />Date Inspected�2�!`� - <br />No. ?0701 <br />