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everpff <br />City of Everett <br />Engineering Department <br />Severer Application and Permit <br />Z/ <br />NO. 20762 <br />DATE <br />93 <br />Service Address 4 r <br />:«.; R F F= ,r / I Jl/!Y <br />Utility Account No. <br />BillingAddress D0, hk <br />�i �i� _ <br />Connection Permit Fee <br />City, State, Zip <br />11)4 <br />_ U <br />Connection Fee <br />Owner (Mortgagor) !i Ar <br />4.(lam i 7 [ <br />Total Fee — <br />Billing Name r/jjA <br />Connection By i" i-1 Q I e-i61 <br />ni r'e r! i . r/C- C, <br />Address A/1. `Rw �I2 l <br />'.Z V/a e/r n; t vf= C_ <br />Signed <br />Customer <br />Phone!r l '/ <br />DESCRIPTION: Sewer District <br />Lot <br />Block _ Monthly Sewer Service <br />Division or Addition (Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />a <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk <br />Lateral ? -7 <br />Abutting Lot Line <br />N, S, E,_ Wl ? <br />Approved By % 1 /— ^%rlIAJC <br />City Engineer <br />Issued By ! <br />Inspection By_ft! <br />C <br />Date Inspected <br />NO. 20762 <br />