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everett <br />� <br />City of Everett <br />Sewer Application and <br />�` <br />� <br />� <br />0 p <br />yL O J <br />GS O G <br />CJ +^ "' <br />afr c'� <br />n� <br />Permi� ., �N <br />� G7 3 � <br />CHART NO. <br />=��1� � TC' (x,��"jfJS <br />�f-f October � �: � � � <br />N0. G I 34�. DATE S�m�Mat�ttz 2, $9II9 <br />Service Address �n'tn rvPrarnen�}r Utility Account No. <br />Billing Address 6n'�n rrvo,•�rr�A*+ wa� Permit <br />City, State, Zip�sezrs�,.. z''a QR���� Connection Cliargels) <br />Owner (Mortgagor) a�7�.+arA tt n„rv Total F <br />Billing Name ^�TM <br />10.00 <br />]p,00 <br />Connection By r.+a� r� �f � <br />' - .. - .. ! _----- <br />Si n--ee3�_'______� � <br />Address_ ' G�- G's '�ta 115 g Customer' � <br />LynnWood, F1A 98036 <br />Phone "- <br />DESCHIPTION: Sevier District_ <br />Lot Block (�anthly Sewer Service — <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permii: <br />Remarks: <br />A1te.Tati <br />IMPORTANT! <br />f:.LL 1-800-024•5555 48•HUURS <br />PR�OR TO DIGGING <br />CALL 2551$811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By M ALPRi:D R. TTiEAT, <br />Ciry EnBineer <br />Issued By Ptar.qaret P. MeG�od <br />Inspectian By � <br />Datelnspected �����d — <br />No. 27341 <br />INSP[CTIQN <br />