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I CHART N0. <br /> evereit ' <br /> i <br /> � , I <br /> � <br /> City of Everett � � <br /> i� � '�� . � <br /> I ' /�� ��i �./ / <br /> Sewer Application ard Pf�rmit ; <br /> i N0. ZE?��b DATE ���� �J � I <br /> I <br /> Service Address ��a• ����� ,��� Utility Account No. <br /> I <br /> Billing Address Parmit Fee <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor�_ Total Fee � <br /> IBilling Name_ <br /> � Connection By �- � � `i Ot- ��ii l'�t I� _ <br /> I Addre,s Signed I <br /> i Cus�omer I <br /> IPhr�ne <br /> i I <br /> � DESCRIPTION: Sewer District_ <br /> I <br /> PI t Block Monthly Sewer Service � <br /> Unplatted Description Monthly Sewer Constr. � <br /> Trunk � <br /> Type Permit: �. �y�� y. <br /> Lateral <br /> Remarks: p � , � " � . , <br /> Abutting Lot Line � <br /> i �� /(J u I P �' C o r- �r � ` N, S, E, W ft. I <br /> � G„�o . '. , � �-,-, ��� <br /> � i" ' o <br /> i <br /> � � �.� � 1. C <br /> i Approved By <br /> P�� �,\ City Engineer <br /> �� IMPORTANT! � <br /> Issued By �G/�I ��f/ ��i`� �' <br /> i CALL 7�800-4245555 48•HOURS �I <br /> PF,IOR TO DIGGING <br /> I CALL259-8871 FOR INSPECTION / � <br /> i <br /> ! Inspection By� � -�� <br /> i <br /> I� Date lnspected � ��� ' 9� <br /> I SEE SKETCH ATTACHED N0. 26996 <br /> � U�-i;i IT`; BILLIi�G � <br />