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� I ..� 3� -�� (- � <br />J %� a ��� �, . ,. <br />City of Everett �! �� � I- `'� <br />, ,-j;i�, <br />Engineering Oepartment l <br />i <br />Sewer Ap��iectinn and Permit <br />"0 2pg60 <br />Service Address__ <br />Billing Address � <br />City, State, Zip <br />Owncr (Mortgagor) <br />Billing Name � <br />Connection By <br />Address <br />Phone <br />DESCRIPTION: <br />Lot _ <br />Plock <br />Division or P,dditian <br />Type Permi[: <br />DATE <br />Utility Account Nc <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Sig�md <br />� <br />Sewer District_ � %i ' . <br />Monthly SeK•er Service <br />Monthly Sewer Constr. <br />S� ��� �(/ _U� I Lateral - <br />Remarks: S-�r, ��� / r�n� � I <br />� Abutting Lot Line _ <br />N, S, E, W ft. <br />0 <br />SEFSKETCH ATTACHED <br />�NSFi:CTION <br />Approved By f� ' J%'b�/� P i' ._' <br />Ciry Enqinen <br />l <br />Issued Bv _. ' _ _ <br />� Inspection By � � <br />l <br />-J Datalnspctited �- 'l' �' --- <br />No. 20960 <br />