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!ed] <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. 2213 9, DATE Z1k <br />�-7 <br />Service Address <br />----,`�—•• i, is -i t t <br />l_� K, i <br />Billing Address . t • I 1 ' ' I\, e <br />City, State, Zipt 1, 4•tt��_t <br />Owner (Mortgagor) ll I CC <br />Billing Name 1C 1 Cc, <br />Connection By I CC <br />CHART NOV-6040-204-011,A <br />Utility Account No. 00 <br />Permit Fee C, ( C <br />Connection Charge( <br />Total F <br />I (. C., < C. <br />C, <br />_:C <br />Address ` C_ 7 �_r rr , !�,_� i� t_ Signed <br />Customer <br />Phone_ r� - 7 t <br />DESCRIPTION: Sewer District <br />Lot ( Block \ Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Trunk G <br />Ahutting Lot Line <br />N, S,' E, W <br />Approved By II - , ,, ; ,t <br />City Engineer <br />Issued By <br />Inspection By <br />Date Inspected <br />NO. <br />