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everett <br />�e <br />City of Everett <br />Eng�neering Departmr�it <br />` `rY', — � /� '' ii <br />\ j� v �/� � <br />, ,w <br />. <br />� ' ` �i � < ,� � '' � ,,,��. <br />l' ` � /� <br />Sewer �pplication and Permit <br />No. 20630 DATE - <br />Service Address -' Utility Aceount No. <br />Billi�g Address Connection Permit I <br />City, State, Zip Connection Fee_ <br />Ov��ner (Mortgagor) Total Fee <br />Billing Name <br />Connection E3y <br />Signed <br />Customcr <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition - <br />Type Permit: ; � , . . <br />SEESKETCH ATTACHED <br />Sewer District <br />Monthly �ewer Service <br />Monthly Sewer Constr, <br />Abutting Lot Line <br />N, S, E, W, <br />Approved <br />Ciry Enginecr <br />ISSUEd <br />Inspection By '�"�� <br />Date l nspected �� � �'� Z <br />' <br />NO. (�I :i �.� <br />