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CHART N0. <br /> everett <br /> � a <br /> a <br /> �o <br /> City O} Everett � � � � I <br /> � M �U�. � I <br /> Sewer Application and:��r,rt�it ' <br /> � � r �• s <br /> � � � � � � <br /> No. 25937 DATE OQ�r�t�.-1�6 <br /> Service Address 1614 arddrav Utility Account No. <br /> Billing Address , <br /> Permit Fee �•5� <br /> City,State, Zip �_10�9704 Connection Charge(s) <br /> Owner (Mortgagor) � _ � Pi49X�k��— Toud Fee 2.50 <br /> Billiiig Name � <br /> . �, <br /> Connection By , /.L'/ / <br /> Signed /<.•"-... �d . �" L— <br /> Address , c,,,,o <br /> / <br /> Phone '" <br /> DESCRIPTION: Sewer District <br /> Lot 2��— Block��. Monthly Sewer Service <br /> Plat��i�� "t" <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> ,tia� <br /> {-� Laterel <br /> Remarks: e�'�'�� Abutting Lot Line <br /> q '" � � � �' P NI g, � yy ft. <br /> �e � <br /> Approved By �*_� s "�*`*• <br /> citv Enpineer <br /> IMPORTANT! <br /> Issued By r.rei.._•e R_ wer�od <br /> CALL 1�800-024•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8871 FOR INSPECTION <br /> Inspectian By <br /> Datelnspected <br /> SEE SKETCH ATTACHED Np, L59� � <br /> IIJSPECTION <br />