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► �p �,vf!�i - <br />Ci"cy of Everett <br />Engineering Department <br />Sewer ,Application and Ri'mmit� <br />NO. 21094 DATE <br />Service Address_ <br />Billing Address — <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />DESCRIPTION: <br />Lot <br />Bloch -- <br />Division or Addition <br />T.— D.rmit- <br />SEE SKETCH ATTACHED <br />li" "I,, CI I()rl <br />Utility Account No <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />Signed <br />Cuttortror <br />Sewer District - <br />Monthly Sewer Service. <br />Monthly Sewer :onstr. <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By_ <br />City Engineer <br />Issued By — <br />Inspection By_�� <br />Date I nspected — z —;" <br />No. 21094 <br />ft. <br />