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everett - <br /> CHART N0. <br /> e <br /> City of Everett SE•vr' To C�,�,-.ri� <br /> 3 -� -9 � <br /> Sewer Application and Permit <br /> N0. L�Ld8 DATE _ M.v 22, 1on7 <br /> Service Address_ m0 ��7 _ Utility Account No. <br /> Billing Address a� � Permit Fee �_s• <br /> City, State, Zip �ratt, u7► g9Zp1 Connection Charge(s) <br /> Owner (Mortgagor) a=Yl Tanerz Total Fee �_So <br /> Billing Name � S�e <br /> Connection By � Oon�tructian <br /> Address p.0. Bwc 5?83 Hcokane_�Q;� Signed <br /> cu:tomer <br /> Phone �2B-1N11 <br /> DESCRIPTION: Sewer District <br /> Lot ��,19 Block � 6Zp <br /> Plat rkt o! Mr�tt Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> _ Oin O <br /> �� Lateral <br /> Remarks: O y <br /> Abutting Lot Line <br /> l N' S' E' W-- ft. <br /> lD <br /> Approved By <br /> ���j'�3'J ��W (g1DRM53r�) Kft{ <br /> cit o i eer <br /> IMPORTANTI ���G�" <br /> %:'.SU <br /> CALL 1�OOd24•555548•HOURS Issued By w�� <br /> PRIOR TO DIGGING B 'aTifll 41.5!1 <br /> c��;+ sa.uo <br /> CALL 259-8611 FOR INSPECTION <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED Np, ZGZVS <br /> If`�;�[CTIGPJ <br />