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i <br /> � <br /> ; <br /> i <br /> CHART N0. <br /> everett <br /> � r� <br /> r�' <br /> � <br /> � <br /> City oi Everett � � � . � 8 S 8 �: <br /> r> c i vi vi �-i � rd <br /> � s «. .. r. <br /> e� eP r e+ •; <br /> Sewer Application and Per�n�� _ � n � � <br /> � � � � �� : � ��� � � <br /> No. 27199 DATE June 7. �9a5 _ <br /> Service Address . _ Utility Account No. <br /> Billing Address . Permit Fee 2_Sn _ _. � <br /> City, State, Zip � Connection Charge�s) <br /> Owner (Mortgagor) Total Fee s 50 <br /> Billing Name <br /> Connection By . � <br /> Address Signed '� <br /> � c0:tomer ' <br /> i <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot �-8 Block 25 Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> _ Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> iry ngineer <br /> IMPORTANTI <br /> Issued By �}�-�q� — <br /> CALL 1-800-424-555548•HOURS <br /> PRIOR TO DIGG�NG <br /> CALL 2593817 FOR INSPECTION ' �/ J <br /> Inspection By <br /> ���J <br /> IDatelns�ected �"��� <br /> SEE SKETCH ATTACHED N0. 27199 <br /> I NSPECTION <br /> i <br /> 5 <br />