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, CHART NO. t� ' - <br /> everett <br /> � r=`�=_ „ <br /> �o. �_� <br /> City of Everett <br /> Sewer Applicat�on and Permit <br /> NO. =�9b � DATE �-` �_�� .r.�'! <br /> Service Address ��+�L�<r, hL��"/! Utility Account No. <br /> Billing Address _ Permit Fe� <br /> City,State, Zip Connection Charge�s) <br /> Uwner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By_ �J ��I O� �>�YP.� <br /> Address Signed <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service — <br /> Unplatted Description Mnnthly Sewer Constr. <br /> Trunk <br /> Type Permit: Y — <br /> '.a,sra� <br /> Remarks: • ,� <br /> Abutt'�g !t>i' Llrt <br /> �„n./r , Q�,v�.Q, � N, S, E, W ft. <br /> .na, � Cv �' nG'C,� <br /> ' �.��_ ' �-- <br /> Approved By <br /> City Engineer <br /> INi'ur�TANT! <br /> I',ss�ed By <br /> CA L L i$00-024-5555 48-HOU RS <br /> PRIOR TO DIGGING I <br /> CpLL 259•8811 FOR INSPECTION . , � <br /> / C <br /> Inspection By <br /> Date Inspected � - � Q '� — <br /> SEE SKETCH ATTACHED NV. <br /> i� �C � ii <br /> CUSTG;.'FFt COF'( <br />