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evereri <br />� <br />City of Everett <br />Sewer Application and Permet <br />No. 253� 7 DATE 8etober�B; 39ii5--- <br />Service Address <br />Billing Address s <br />City, State, Zip <br />Owner (Mortgagorl_g•eg�„}�; �� — <br />Biiling Name g�_ <br />Connection By ��t4e �ees <br />Address �}a gg Etre�eEt t{a�3 tda;• <br />Phone 35}f,569 <br />DESCRIPTION: <br />Lot ___1.9. t �o Block S S <br />Plat Seath 4a�k <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48-HOURS <br />pRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee____ <br />Connection Charge� <br />Total Fee <br />� - <br />Signed - � <br />a:�o�, � <br />Sewer District <br />Monthly Sewer Service <br />IVlonthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />ny ngineer��' <br />Issued By�. 6;��� <br />Inspec.' n By <br />Date Insoecte� <br />