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CHART NO. <br />� everett <br /> � �%h)°"dn C/fan!z.:� `f�20/88 <br /> City of Everott <br /> Sewer Application and Permit <br /> N0. L�S�S DATE <br /> Service Address =�� ��-- Utility Account No. <br /> Billing Address_ �� Permit Fee �n_m <br /> City,State, 2ip ��� y� y��py Connection Charge(s) <br /> Owner (Mortgayur�_�,�. .._+�_. Total Fee__ �n_pn <br /> Billing Name �� <br /> I� Connection BY ��_ -- ; ,. <br /> �_ - � ��, � <br /> Address Signed �•' •t.•,l�% !: —._ <br />' Cusromer <br /> �10fl@ <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �r M '' N, S, E, W ft. <br /> � 01/76/Si6 2�3:Plf (KIDRM8424 �t3 <br /> . � <br /> IIOUlY'cw1Q <br /> Approved By <br /> qmeer��0.� <br /> IMPORTANT! <br /> Issued By ��r �'� <br /> CALL 1�800�24b555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION �l/� <br /> Inspection By /�` <br /> _ Date I nspected�a �`�� <br /> SEE SKETCH ATTACHEO N0. ZSSl� <br /> INSPECTION <br />