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CFIART NO. <br /> eve�ett <br /> � �r:� � 1.., Cn as;:=� �z-iio- s o <br /> City of Everett <br /> Se�ver Application and Permit <br /> NO. 2676� DATE <br /> _ . <br /> Service Address_��88 ��yu Utility Account No. <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Gharge(s) <br /> � - <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connectian By <br /> Address_ . OZ�Signed <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type �'ermit: Trunk <br /> Pa = <br /> Laterel <br /> Remarks: <br /> Abutting Lat Linep;,lt��ir3 1ci'�Philu24pN1S�(3 i:Ck'i <br /> N, S, E, W ft. <br /> Fy;rn;:�:,�i,3 <br /> SkNf:i.' StU.00 <br /> [;�I;.�i! °1U.1� <br /> Approved By nrvann R_ 'I'ftF.AT. __ <br /> Ciry Engirreer <br /> IMPORTANT! <br /> ISSUBd By_ 4�av t_�y�E.n <br /> CALL 1-800-424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259•8811 FOR INSPECTICN <br /> Inspection By_ � <br /> Date Inspected ���`�� <br /> SEE SKETCH ATTACHED No. 26763 <br /> INSPECT�Oi�: <br />