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everett Iv{ <br /> City of Everett <br /> Engiueeting Department <br /> Sewer Application and Permit _ <br /> � „ J ,3J <br /> NO. 20650 DATE ----- <br /> �c,0'`�1 Sr S la <br /> Service Address r Utility Account No. <br /> Billing Address Connection Permit Fee_ <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee — <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Custanxr <br /> Phone_ <br /> DESCRIPTION: Sewer District— <br /> Lot Monthly Sewer Service— <br /> Block-- <br /> Division <br /> erviceBlock_Division or Addition — Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E, W ft. <br /> Approved By <br /> City Engtnaer <br /> Issued By <br /> Inspection By� <br /> Date Inspected 412 <br /> T SEE SKETCH ATTACHED NO 20650 <br /> I <br />