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CHART NO. --- <br /> everett �^'T � �`��'u� � <br /> l �-���� � <br /> � <br /> City of Everett � <br /> � <br /> Sewer qpplication and Permit <br /> N0. ����v DATE — <br /> Service Address�1y — Utility Account No. <br /> Billing Address --- <br /> Permit Fee_ �n nn - <br /> City,State, Zip Connection Charge�s) <br /> Owner (Mortgagor) . _ Total Fee �n on — <br /> i <br /> Billing Name�— — ; <br /> Connection By�------' <br /> Signed �'' " \ <br /> Address — c�,�o�� � \ � <br /> Phone — � <br /> DESCRIPTION: Sewer District � <br /> I <br /> �o� _ Block_ Monthly Sewer Service <br /> Plat — <br /> UnplattedDescription_ MonthlySewerCoq_K1,rie,itlti '�:0�'niuMb•,I,i':'� ���� <br /> _ ___ Trunk <br /> TYPB Permit: 17u�1' , ;�.�.��� <br /> Lateral��_+,u� — <br /> Remarks: Abutting Lot Line <br /> N� S� E� W---- _it. <br /> Approved By i <br /> fry npioeer <br /> IMPORTA�JTI Issued By I� <br /> CALL 1AOOd24-555548-HOURS I <br /> PRIOP TO DIGGING I <br /> CALL 269-8811 FOR INSPECTION I <br /> Inspection By � <br /> Oate I nspected__ � f . I <br /> SEE SKETCH ATTACHED N�• G�GLv I <br /> r�_c �� !� r; I <br />