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l <br />� <br /> i <br /> i <br /> everett <br /> I � <br /> I <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. Z�O�v DATE �anw�r4�7.-�oe9 — <br /> Service Address _ Utility Account: No. <br /> Billing Address � Permit Fee_ 30 oe <br /> City,State, Zip � � <br /> Connection Charge(s) `•- - - <br /> Owner �Mortgagor) . Total Fee �0 oo <br /> Billing Name <br /> Connection By <br /> ��,. <br /> 4� <br /> Address S�gned � Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block MonthlySewerSer�i't�e�1:�34 IG�4:fUf OOOR��5095 tF:'.'� <br /> � Plat � <br /> Monthly Sewer Cons .�'-'134U <br /> Unplatted Description ��{}�; s10�''I.W <br /> Trunk � �"� ''•''0 <br /> Type Permit: , '"1 di�. <br /> Lateral "��Ze1 <br /> 55.iQ. <br /> Remarks: "�����'-�'�9$ <br /> Abutting Lot Line�.�r d_a�.� <br /> N, S, E, W - ft. <br /> . . . ... <br /> Approved By <br /> City nB��eer <br /> IMPORTANT! <br /> issued By -- <br /> CALL 1500�24-5555 48-HOUflS <br /> i PRIOR TO DIGGING <br /> i CALL 259$&�::FOR INSPECTION � <br /> ' Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED N�• 270�8 <br /> INSPECTION <br />