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everQM,. <br />e <br />City of Everett <br />Sew�r Applicatior� and Permit <br />NO. Z��S� DATF. �-�7- �`I <br />Service Address 30�D7 t3�yt <br />Billing Address a4G5 SLh St — <br />City, Sta?e, Zip -�. tt, Kh �B2L1], <br />Owner IMortgagor) g=��yypj� <br />Billing Name ���m <br />Cunnection By �ger's #ieathochea8 — <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remark�: <br />IMPORTANT! <br />CA L L'i -80U-024•5555 48•HOU R S <br />FRIOR TO DIGGING <br />CALL ?59-681T FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Fermit Fee yp�r„�„ <br />Connection Charge(s) _ <br />Total Fee ��� <br />Signed _ <br />Cusromer <br />Sewer District <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral nt �;�:,;c � i• a�aai i � on; -,, ;_!� <br />Abutting Lot Line •������=��=�� <br />N� E �y ;(lfI{.' 4 iV.iNJ ft. <br />CI;Lf:f 41�].00 <br />Approved By. <br />Ciry m er�-��Lr� <br />Issued By <br />� / <br />�� /� <br />Inspection By � <br />Datelnspected Z' z y' S y <br />No. 27057 <br />l;�_. ._ ;;i�',�.i <br />