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CHART N0. <br /> everett <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. 26500 DATE T r-,—�9Qo <br /> Service Address z805 ]!2 Oo1�7►� _ Utility Account No. — <br /> Billing Address �- Permit Fee �n nn <br /> City,Swte, Zip Svar�tt Nl► 98202 Cannection Chargels) <br /> Owner (Mortgagor) �'--• *^*""*'r. ru�t Total Fee +� �� <br /> Billing Name s" � <br /> Connection By�idS� T" * <br /> Address ' ""'� " Ce E+antt 9ezea Signed <br /> customer <br /> Phone aa,_r.�in <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: rP � e ' a• �K ••C�R Abutting Lot Lin�'i�«'f'� �:a::F'it (h7iMii13i,nR kS �.> <br /> i� <br /> o N, S, E, W wiu..a�it� ft. <br /> ' e !iENLk 41U.(iti <br /> +_Ii�,N �10.fa1 <br /> —. Approved By �� R• �' <br /> City Enpineer <br /> IMPORTANT! El�! Suey Aauqen <br /> Issued By <br /> CALL 1-800-024•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> / <br /> CALL259S671fORINSPECTION ' <br /> lospection B <br /> Datelnspected � °2 r�G <br /> SEE SKETCH ATTACHED Np, Z�JOO <br /> I f�SPECTI ON <br />