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I CHART NO. <br /> evereR <br /> e /_ - __ '- , e�. <br /> 7 � <br /> City of Everett I�/ 5,�� ' <br /> � <br /> Sewrer Application and Permit � � <br /> , , , <br /> N0. �6 O 1 �� DATE <br /> Service Address��L����� -�t— Utiliry Account No. <br /> ��-- <br /> Billing Address_. — _ Permit Fee <br /> City, State, 2ip Connection Chargels; <br /> Owner (Mortgagor) Total Fee � <br /> Billing Name � � —�–� ^ K�r <br /> CAnnection By � -- <br /> Address Signed����'�c�s�o �I `�� � <br /> Phone — <br /> DESCRIPTION: Sewer District_ <br /> Lot Block Monthly Sewer Service <br /> Plat_ — <br /> Unpletted Description_ Monthly Sewer Constr. <br /> _ — Trunk <br /> Type Permit: <br /> — Lateral <br /> Remarks: ��^L,,��� J�� nF .(��� /��/��� ' Abutting Lot line <br /> d1��� y , ,. N S E NJ__ ft. <br /> �iM✓ r�.tJ�, 4 � . .5 "'Il/ •T '� � . <br /> / <br /> � �r / " ' I✓ <br /> �.S / , /E.�. /�i ��N. , � � � <br /> Approved By <br /> City Enq�nem <br /> IMPORTANTI Issued 8y <br /> CALL 1A00�424�5655 48�HOUHS <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION �,{�' � <br /> InspectionBy_.`'���` " ��a�` <br /> Date Inspected�,� '" ��" <br /> SEE SKETCH ATTACHED <br /> Na � 60 ]. 3 <br /> CUSTOMER COPI' <br />