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everen <br />� <br />City of Everett <br />Sewer Appli <br />No. 26032. <br />� <br />i� C] d��f] � r�i � L) :fi <br />.: � � oi vi +-i r� c� �i ci <br />... ... r_ -. r- i �a .n <br />N .l� —� .-t :n N L <br />�RQ����3 ��•o � x � <br />.� <br />,.-i ti� �i n � Q. �• N<+ ra � <br />�;��..I::;����J��= '���Ty�(y..���� y.I <br />'.K (J li� �:.1 � i/i � � �w .w = .�` r�% 1=l "S �J% <br />DATE �, .ru, ise� <br />Service Address soa a hi�+n st <br />Billing Address ��2 ��^� �* <br />City, State, Zip av.r-att,, �,-A ea2o3 <br />Owner (Mortgagor) cen�+ r. sue clo��n� <br />9illi�ig Name sn� <br />Connection By <br />Utility Account <br />Permit Fee <br />CHART <br />SFN; ro lsf,�?.�>,vlr <br />S-/-j ' B J <br />4 � �,"J• <br />�. r : � <br />M Y1 <br />i`� <br />a rl e. <br />a� <br />� <br />�� ��- <br />U <br />����� <br />Connection Charge�s) <br />Total Fee 2- � -- <br />Signed :_� ' • -:`,,� <br />Cusmmer ! � <br />�l <br />Rhone_ 44Z—AA82 <br />UESCRIPTION: Sewer District a * <br />Lat �y Block Monthly Sewer Service <br />Plat .�1s <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />fype Permit: <br />Lateral <br />Remarks: <br />IMPORTAN i ! <br />CALL 1-800•424•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8611 FOR INSPECTION <br />SEE SKETCii ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By n,wr.n a_ amaar. <br />Ciry Engineer <br />ISSUed B�/_M�^rgwr h - NnTnnA <br />Inspeccion By �� <br />Date I nspected T'� 3'�� _ <br />No. 26032 <br />IP:��ECTION <br />