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everett �� I� <br />Y-V3 �- "y <br />e S Tom` D . <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 21017 DATE <br />Service Address0 <br />Billing Address_ <br />Utility Account No. ' `' ' e / 1 <br />Connection Permit <br />City, State, Zip Connection <br />Owner (Mortgagor) Total Fee_ <br />Billing Name r <br />Connection By I , I t , <br />r <br />Address i 1 _ Signed <br />Custorner <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk /. ! <br />Lateral <br />Abutting Lot Line <br />N, S, E, Wft. <br />Approved By__. <br />City Engineer <br />Issued <br />Inspection By_ rr y <br />Date Inspected 7 <br />No. 21017 <br />