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CHART NO. <br /> everett <br /> s�„��Z c%c�n,i,.a.� y�zo�9 <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. Z���O DATE +a —�� ee� +a�+ <br /> 5ervice Address Utility Account No. <br /> Billing Address Permit Fee ip.,^^ <br /> City,State, Zip Connection Charge(s) <br /> Owner (Mortgagor) , Total Fee �� �� — <br /> Billing Name <br /> Connection By � <br /> i� <br /> Address Signed _. <br /> cu:romer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot B��k Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> - Trunk <br /> Typs Permit: <br /> Laterel <br /> R�marks: <br /> Abutting Lot Line <br /> N, g, E, yy ft. <br /> Ap,xoved By 11/:5/$7 3s35FY1 OQORR816Q tttt <br /> c� L <br /> HOOa�`.64N1 <br /> IMPORTANT! �{!7t �l0.fA7 <br /> Issued By <br /> CALL 1-800�4245555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 2595817 FOR INSPECTIUN ` <br /> Inspection By \ <br /> Datelnspected � <br /> SEE SKETCH ATTACHED NO. `J�vO <br /> INSPECTION <br />