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� <br />� <br />� <br />�y' <br />�' <br />�. <br /> � <br /> CHART NO. <br /> � everett I <br /> l � l <br /> I I <br /> � Ci4y of Everett <br /> Se�nre� Application and Permit <br /> NO. Z��T� DATE �••-n � tuon _ I <br /> �i�i/l1:'!�(112�43F'MOOOAii(�i +5 T;:i <br /> Service Address Utility <�ccount No._ � <br /> • .:o� <br /> Billing Address _ Permi+. Fee 2•50 � -"'�� ' #ti•`'u _ <br /> City, State, Zip a... >� ..■ pA��y Connection Chargels)_ ��` �`''� <br /> �� b . <br /> Owner (Mortgagor) ���_y�th Total Fee�_�.� <br /> Billinn Name I <br /> Connection By � <br /> Address _ Signed I <br /> CU6IORIPf <br />� Phone I <br /> DESCRIPTION: Sewer District � <br /> Lot •� -�_ Block�— <br /> Monthly Sewer Service <br /> ' Plat � �.--*� , <br /> f Unplatted Description � Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> e Lateral_ _ <br /> Remarks: <br /> n Abutting Lot Line <br /> v: � N, S E, yy ft. <br /> Approved By <br /> atv oa�oe�!r <br /> IMPORTANT! �O �7 <br /> � Issued By �l <br /> CALL1�OOd24•555548-HOURS ,/ <br /> PRIOR TO DIGGING <br /> CALL 259�8811'FOR INSPECTION <br /> Inspection By <br /> Datelnspected <br /> I SEE SKETCH ATTACHED NO. ZI678 <br /> I �NSPECTION <br /> I <br /> I 1! <br /> I <br /> 1 <br />