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everen <br />e <br />City of Everett <br />Sewe► A,�plic:ction and Perr�it <br />rvo. 26413 <br />CHART NO. �'� � � -` �' -`I — <br />�/gg Fo:_.z-�-1, �- T� rnt�°; <br />Service Address �� j � �mW e�' �I��� Utility Account No.�% � - � �� �� U��> > � � � i I <br />Billing <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name — <br />Connection By C� � f_`/ �' r �. �I c1 ►-c; t f <br />�^ <br />Address <br />DESCRIPTION: <br />Lat <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remark.s: � <br />' Jio� ; <br />Block <br />IMPORTANT! <br />CALL 1�800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />SignaJ <br />customcr <br />Sewer District <br />Monthly Sewer Service_ <br />_ Monthly Sewer Constr. <br />A6utting Lot Line <br />N, S, E, W. <br />Approved By <br />Ciry Engineer <br />Issued By �� �^� Nl i/�� r <br />; <br />Inspection By <br />Date I nspected � � " � � ' � � <br />rvo. 26413 <br />UTiUTY GILLIi�!6 <br />