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CHART N0. <br /> everen � <br /> e <br /> ...�CS✓rT Cf/�v,¢r•.ua- <br /> City of Everott <br /> 3/��9� <br /> S�wer Application and Permit <br /> No. 26035 DATE .L.u��� 22�m17 <br /> Service Address =22� Clw��alld Utifity Account No. <br /> Billing Address lO2t.E.r�aed Are Permit Fee �, cn <br /> City,State, Zip�11��t��� Connection Chargels) <br /> Owner (Mortgagorl �bf�• ��N� Total Fee 2„jp <br /> Billinp Name f�•• <br /> Connection By �W <br /> Address Signed � c�s�o�� � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�,��— Block.�— Monthly Sewer Service <br /> Plat��y <br /> Unplatted Description. Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remerks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By i�!�%�. z��i� �rr�,au.:;s� t��t <br /> ' ��.iry�+p� r <br /> IMPORTANTI fI0U0176�1 <br /> Issued By �N SRf�j_W_ t1.�D <br /> CALL 1�8004243665 48•HOURS <br /> PRIOR TO DIGGING �� �•� <br /> (:F6J:F: Pf.O(1 <br /> CALL 269�8811 FOR INSPECTION <br /> Inspection By ���'`�� <br /> Date inspected �-��—d' <br /> SEE SKETCH ATTACHED No. 2F035 <br /> ir�s��c i ior� <br />