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cverctt A A - <br /> -7 o s-Tj:: D '71161-79-- <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> NO. 21U24 DATE - - - <br /> Service Address '5-le R O 7-4e Sr 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 /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer C.)nstr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: 6 " r r g O se' AX Abutting Lot Line <br /> CN - S� _ it. <br /> ine e <br /> !A r d [ i 6 -5 N�S, E. W <br /> Approved By_ <br /> City Engine" <br /> Issued By. <br /> Inspection By—,/"/- / <br /> Date Inspected—L� �3 <br /> SEE SKETCH ATTACHED /No. 21024 <br />