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CHART NO. _ <br /> � everen c�,. {�o �f��: !' � '�- : � �E <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 26447 DATE ���; lo, i��7 <br /> Service Address Utility Account No. <br /> Billing Address ��� f�y�A � � — Pennit Fee_ 30.,nn <br /> City,State, Zip �y�, �p O�py� _ Connection Chargels) <br /> Owner (Mortgagor►_j -��� Total Fee �,DQ <br /> Billing Name y�.� _ �lal otilit� l�w, ord. 1171–t5: <br /> rrter 214.0� <br /> Connection By �4���.— <br /> Address �.•• + •• �• .�+•---- g�g� Signed <br /> Customer <br /> PFlOf1@ �}]..�}�} <br /> OESCRIPTION: Sewer District y�� ++ <br /> Lot .� Block_ <br /> Plet ___ Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr <br /> Trunk <br /> : Typa Permit: <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> 11/17JU7 2t4.'FM 00[WNA0.'�'7 ttkt <br /> ! <br /> 410t7015013 � <br /> F.iDG sG�0.5D <br /> Approved By� ��1 <br /> ` nq�neef�:� <br /> IMPORTANT! �+ `�� �•� <br /> CALL 1�800�324555548•HOURS Issued By y- T�� ��� <br /> PRIOR TO DIGGING ��� ``��� <br /> NJC1�2644 i <br /> CALL 2595611 FOR INSPECTION �� ��•� <br /> 11 ,2,3��. <br /> Inspection By �-- <br /> Datelnspected �r�..� .� <br /> SEE SKETCH ATTACHED NO. 26447 <br /> INSPECTION <br />