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cvcrett <br />City of Everett v <br />Engineering & Community Services <br />Sewer Application and Permit <br />No. 22420 DATE f/ ; <br />CHART NO. ff'P4-S" <br />t t <br />Service Address % Utility Account No._ <br />Billing Address i Permit Fee <br />City, State, Zip Connection Charges; <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection By ' <br />i <br />Signed / Cu. <br />nomar <br />Phone <br />DESCRIPTION: Sewer District <br />Lot Block <br />Plat i Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />SEE SKETCH ATTACHED <br />IIJSf'f Cf I:)I; <br />Lateral <br />Abuttiny Lot Line <br />N,S,E,W <br />%pproved By _ <br />City Engineer _ <br />ssued <br />nspection By +' <br />We Inspected <br />NO. <br />is <br />