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everett <br />e <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 20765 DATE <br />Service Address �� rr F,• " -"�'' ' <br />Billing Address ' <br />City, State, Zip <br />Owrer (Mortgagor) <br />Billing Name <br />Connection By <br />Phont <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />SEE SKETCH ATTACHED <br />INSPECTION <br />y <br />Utility Account No. � �' > '' — , '' <br />_ , t <br />Connection Permit Fee <br />Connection Fee ` /fin <br />Total Fee /-T/ <br />Signed <br />customer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk__ <br />Laterel <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By <br />City r-91ncer <br />Issued <br />Inspection <br />Date I <br />No. 20765 <br />