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CHART N0. <br /> everen <br /> e � <br /> � TO POSTIP'.� 5-�s -� <br /> City of Everett � � $ ,g, $ $ g <br /> .� N �'iii� � OCl <br /> :Ti � I� iP .r o `Q <br /> Sewer Application anc�Q�r~ 't Y � � � <br /> � � S S 4 F <br /> No. 2T130 DATE ��� �i�� � � � � � <br /> Service Address =��s �Y Utility Account No. <br /> Billing Address a� Permit Fee 30.00 <br /> City,State, 2ip_, _ Mrlt, �TA 9i20i Connectian Charge(s) �� <br /> Owner (Mortgagor) ���� s�ip Total Fee ��•� <br /> Billing Name �� _— <br /> Connection By � , <br /> , l � <br /> ( . .. � <br /> Addre:s Signed — <br /> cu:tomer <br /> PRone <br /> DESCRIPTION: Sewer District �tt� _. <br /> Lot _ Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. � <br /> Trunk <br /> Type Permit: � �t� <br /> Lateral _ <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By 7►L►It�D A• 4'ei71f. <br /> Ciry Enpineer i <br /> IMPORTANTI I <br /> Issued By Ew� eR�sn <br /> CALL 1500�424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 Fn� INSPECTION �y � <br /> Inspection By �'�� <br /> Date Inspected ��?�'9j <br /> SEE SKETCH ATTACHED Np, L���� i <br /> INSPECiION i <br />