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CHART NO. <br /> ( evere:t <br /> e _., / <br /> � 19-'� � �B (�/!.;°� i'in� �- �� '�`� <br />, I City oi Everett , <br /> � <br /> Sewer A,pplication and Permit <br /> NU. Z�4�q'�qyy Y�3fJDATE a 0 , .�_ <br /> 00'U£t M3H3S <br /> ServiceAddressSB�/ �'�g:.000f1 <br /> Utility Account No. <br /> Billing Address ��'I9 f�� 3 Permit Fee <br /> City, State, Zip Fb��� H� �� Connection Charge(s�� _ <br /> Owner (Mort a 0£E �ll,� <br /> 9 9�• Total Fee_ . <br /> Billing Name `��+Til(N�H <br /> ��nec�� �Zi FZ _ ct.�K� — <br /> Address Signed I <br /> ��-�g �m_�- CuStomer <br /> Phone_T�S ' <br /> DESCRIPTION: Sewer District <br /> Lot Btock <br /> Plat Monthly Sewer Service ___ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: „�„ `o�n�ciloa� <br /> Lateral <br /> ( Remarks: <br /> Abutting Lot Line <br /> — N, S, E, W ft. <br /> APProved By wr.rgrp e _ •raRar <br /> City EnBineer <br /> IMPORTANTI <br /> Issued By c„. g „ <br /> CALL1-8�0-024-555548•HOURS � Rau o <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION � <br /> _ Inspection By--'�==�Gt'���— — <br /> Date I nspected �^l—�r' �` <br /> SEE SKETCH Al'TACHED No. 26453 <br /> If�!S?ECTIOf�I <br />