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, _, CHART N0. <br /> everen <br /> � m �-�`�'-8� <br /> � ,SE�✓T To Cs/rvQr��✓� <br /> .� <br /> City of Everett 8 �3 <br /> � o0 <br /> o �n .~i� <br /> Sewer Application and Permit � � � <br /> � � � � <br /> NO. Z6Z1S UATE ��m� �. ��p? — <br /> Service Address 4��� a- priw Utility Account No. <br /> 8illing Address Permit Fee 10 00 <br /> City, State, 2ip �t,�9BZ0] Connection Charge�s) <br /> Owner (Mortgagor) Total Fee 10 00 <br /> Biliing Name � -- <br /> Connection By <br /> Address Signed - '''-'� <br /> cusrome. <br /> Phone i[:--.7�7 <br /> UESCRIPTION: Sewer District_ <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Descriptfon Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: ��«...rt� <br /> Lateral <br /> Remarks: _ Abutting Lot Line <br /> N, g� E� yy ft. <br /> Approved By �»+ R rE�L p 8 <br /> Ciry En9lnex <br /> IMPORTANTI <br /> Issued By ��Ht a �od <br /> CALL 1�100-024•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION ��t� <br /> Inspec'1,...8_1�� �— <br /> Date Inspected G ��`�7 <br /> SEE SKETCH ATTACHED No. 26'Z15 <br /> If�:SPCCTIGN <br />