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City of Everett <br />Frngineering Department P^ <br />1- <br />Sewer Appikation and Permit <br />No. 21033 DATE <br />Service Address' <br />Billing Address <br />City, Stare, Zip \'r •: f <br />Owner (Mortgagor) % T I LA <br />Billing Name_ tit t' V-- <br />Connection By <br />Address_ <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Add <br />T,mF Pprmir' <br />Utility Account No. <br />Connection Permit Fee_ <br />Connection Fee <br />Total Fee <br />Signed <br />Custort <br />Sewer District <br />Monthly Sewer Service, <br />Monthly Sewer Constr. <br />Remarks: <br />VIP.a <br />r" • ,ei /r <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By -- <br />City engineer <br />Issued <br />Inspection By <br />Date Inspected <br />No. 210.33 <br />