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everett <br />,.e <br />City of Everett <br />Sewer Application and Permit <br />NO. 26239 DATE tne Z di - <br />Service Address 312, SSE v <br />Billing Addressr. Z d1Y11" <br />City, State, Zip�{- <br />Owner (Mortgagor) <br />Billing Name (g Im <br />Connection <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Permit: <br />Remarks: <br />CHART <br />To C110zrlA. , /Z/3o/97 <br />Utility Account No. <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />Signed <br />Customer <br />Sewer District <br />Block <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />j Iff, <br />/07— 2Sk?" MJ/li"�. I*,, <br />Approved Approved B <br />IMPORTANT! �'/SEUCk 130.00 ,/ <br />Issued By (4'Ati-S ;s32.2ir, CALL 1-800424.555548-HOURS IMM5,161 <br />PRIOR TO DIGGING WWR k10WXU <br />CALL 259-8811 FOR INSPECTION CIIEUJ f41[0.25 <br />Inspection By <br />Date Inspected t� ry <br />SEE SKETCH ATTACHED N0, 26239 <br />INSPECTION <br />