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r <br />everett <br />WoS� <br />1 U" " '/ <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. ''0980 DATE <br />Service Address_ <br />Billing Address — <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_. <br />Phone 3 ; _ q', rI -r <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition_ <br />Type Permit: ,', <br />SEE SKETCH ATTACHED <br />INSPCC1ION <br />Utility Account Nc <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewes Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_ <br />01V Engineer <br />Issued By i <br />Inspection By o C' S " <br />Date Inspected 6_ 2 <br />ND. 20930 <br />0 <br />