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/ <br /> CHART NO. <br /> eve�ett <br /> e <br /> �}—��✓T 7�' �'/�/��Tin/G //•/P-�6 <br /> Gty of Everett <br /> Sewer Application and Permit <br /> No. 25874 DATE , ,1�-- -- <br /> Service Address � �� ' Utility Account Na. � ��j�y�----�p;.r <br /> Billing,",;;aress Permit Fee / r � <br /> Connection Charge�s) �'� ����� <br /> City, State, Zip ---G',,.� �-. . <br /> Owner (Mortgagor►���� /�`L=� Tota! Fee � <br /> Billing Name <br /> � � � , , � <br /> Connection By ' <br /> i��� <br /> Address - <br /> Signe�_ ��n�`. .���_-'" ---- <br /> � � cu:tomer <br /> . + ../`/ )... ��.. �.� � i . . -� 1 <br /> Phone � / <br /> DESCRIPTION: Sewer District <br /> Lot Block pdonthly Sewer Sarvice <br /> Plat <br /> Unptatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W n• <br /> Approved By <br /> Cily Engineer <br /> IMPURTANT! IssuedBy ''� /%� " — <br /> CALL 1-800-024-5555 48•HOURS / <br /> PRIOR TO DIGGING <br /> CALL 259�811 FOR INSPECTION <br /> Inspection By � � �e%A'� <br /> Date Inspected �b _ / 3— �6 <br /> SEE SKETCH ATTACHED Np. GJv�� <br /> I N"PECTI C�N <br />