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everett <br />� <br />c�ri af et�rett <br />Sewer Applicctior� and,Perre�it <br />CHART WO. <br />1 ������ <br />:��- r �16� <br />;> , <br />No. 25379 DATE 10-23-87 � <br />Service Address 3807Hoyt Utility Account No. <br />Billing Address, <br />City, State, Zip <br />Owner (Mortga� <br />Billing Name_ <br />_ Permit Fee. <br />Connection <br />_ Total Fee_ <br />Connection By City of EVerett _ <br />Address <br />Signed <br />DESCRIPTION: Sewer District _ <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description_ Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 7-800�424�5555 48�HOURS <br />PRIOR TO DIGGING <br />CpL� 25�A817 FUR INSPECTION <br />SEE SKETCH ATTAChIED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />Ciry Engine�v <br />Issued By�s;�= _� <br />Inspection By �' � --fy / <br />Date Ins ected��� / �c� .' i- � <br />� <br />�o. 2s37s <br />UTILITY [sILI..ING <br />