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Li <br />City o: Everett <br />Engineering Department <br />Sewer Application and Permit <br />NO. 21016 DATE <br />Service Address2 FLOW V& P—1 y <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection <br />DESCRIPTION: <br />Lot — <br />Block -- <br />Division or Adriirl�. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Utility Account No. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee___ <br />Signed <br />Cussomir <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />gutting Lot Line <br />N' S' E, W ft. <br />)roved BY-L.BY-L. I i C_�-. L . k-c ( <br />City Engineer <br />edBy � I1(i l\ri <br />ection By <br />Inspected trI" 4'r- <br />NO• 21015 <br />