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,,�,�%s>�.vG //ousF I CHART NO. _ <br /> everett <br /> � <br /> Ciey of Everett <br /> Sewer Application and Permit <br /> N0. 2�v�3 DATE � I <br /> Service Address � Utility Account No. <br /> Eiilling Address / �. Permit Fee �� �U <br /> City, State, Zip�/�{�Cj���_���� Connection Chargels) <br /> Owner 1Mortgagor) ��,���f"�� Total Fee c �� �'� <br /> Billing Name �� .o �� <br /> i - <br /> Connection By���(►= __,._ <br /> Address Signed_'.� <br /> � ��� "� Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block _ <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> f1�i2u/Ci6 "L�151'15 QGt1AHUl.i:; :��7:.t � <br /> Trunk � <br /> I Type Permit: _ ���3 <br /> Laterat S�'I,tfk 4311.f1D <br /> Remarks: �K�� ���•� <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By i .� i^� . :.i ./ <br /> Ciry Engineer <br /> IMPORTANT! / - <br /> CALL 1•800-024-5555 48-HOURS Issued By 1 : � /.� � i i'._/ d , , ,�:; _ <br /> PRIOF TO DIGGING <br /> CALL 259�8811 FOR INSPECTION <br /> Inspection By i <br /> Datelnspected S Z� �� <br /> SEE SKETCN ATTACHED No. 25663 <br /> IUSP�CTIOPd <br />