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��� ( CHART N0. � <br /> y I everett I <br /> q� � <br /> ��y � <br /> y � � <br /> K n <br /> y �1 � <br /> ��.f H � �ii City of Everett <br /> fA H <br /> �y� '' <br /> �� g i Se�r�e�r Application cand Permit <br /> c�» o ( , <br /> "xH j rvo. 25942 on�,-E �� ' � � I <br /> ��� t <br /> HH <br /> gy F� li Service Address � Utility Account No. <br /> �qqqa -- I <br /> b. � Permit Fee <br /> H � I Billing Address � <br /> y o � � ' / Connection Charge�s) i <br /> City,State, Zip ; <br /> I � _ �� <br /> Owner (Mortgagor) Total Fee I <br /> � i <br /> '� Billing Narr,e — i <br /> I Connection By iu/:'".'��5 i��SV'ti ilU,l�i!;v;�; i:!"�i <br /> i - _ i <br /> ' Address Signed c�s � � `�- <br /> i �, ':�F;i3. 2'.Al.lf�] <br /> � � � Phone_ �'kifi li 9�i).lu�-- <br /> � I �'��_ i <br /> i � � DESCRIPTION: Sewer District � <br /> (�.,� Lot Block Monthly Sewer Service , <br /> "�►� Plat <br /> i Unplatted Description Monthly Sewer Cr,nstr. i <br /> '� � Trunk ' <br /> I (� Type Permit: � <br /> Lateral � <br /> I <br /> � � Remarl<s: <br /> � Abutting Lot Line � <br /> � <br /> .n! ii N, S, E, W ft. <br /> ' � <br /> � _ l <br /> I <br /> �+.w�_� I <br /> — Approved By I <br /> . � CitY Engineer <br /> I '�� � IMPORTANT! i <br /> ��s� �i Issued By � � �, <br /> CALL1�300�424�555548-HOURS /;-�7 � . <br /> �'� PRIOR TO DIGGING ,� - C .�,<<.��� �� I <br /> � �/(, j!7'' c'` `-:�^- �� /y�4� r!� <br /> 'I Cl�LL 259�8871 FOR INSPECTION J� � � <br /> j Inspection By I <br /> � Date Inspected_ <br /> SEE SKETCH ATTACHED N�• LJ��� <br /> �� IfJ�>Pt:CTICf�! � <br /> i <br /> ��� , <br />