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a <br />We <br />City of Everett <br />Sewer Application c <br />NO. 234;1 DATE <br />Service Address / <br />BillingAddressl" <br />City, State, Zip - /�� �/ <br />owner (Mortgagor) <br />Billing Name <br />Connection <br />Phone <br />DESCRIPTION: - <br />�L Bloc>—f„ <br />Lot. I <br />Plat <br />Unplatted Description <br />SEE SKETCH ATT qt r'=� <br />Utility Account No. <br />Permit Fee <br />Connection Charge( <br />Total F <br />Signed Customer <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />rutting Lot Line <br />N, S, E, W <br />,pproved BY /mac <br />JLY <br />ssued By <br />inspection <br />Date Inspected <br />NO. 23456 <br />INSPECTION <br />R <br />owner <br />Date_ --- <br />TYPE OF INSPECTION REQUESTED <br />BLDG: Pint. No <br />11 MECH: Pint. No. <br />j ELEC: Pmt. No <br />__ i I PLBG: Pmt. No. <br />[I Housing <br />F-I Masonry ❑Consultation <br />I] Groundwork <br />Fooling <br />u Foundation <br />Cl Framing <br />❑ Drywall/Installation 0 Slab <br />Spec. Insp. <br />0 Rough -In ❑ Final <br />Ci Wood Stove <br />n Service <br />❑ APPROVAL <br />i 1 PARTIAL APPROVAL <br />❑ VIOLATION <br />I I CORRECTION REQUIRED <br />Corrections listed below MUST BE ADE before work can be approved. <br />M <br />Please contact inspector and arrange for appointment. <br />,I Was not able to perform inspection. <br />!J CALL 259-8745 FOR REINSPECNON -- 24 flour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />A <br />11 <br />I <br />