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CHART NO. <br /> � <br /> everefl �, <br /> � �� <br /> TQ p(1�TI�VG �- //- ��y ' <br /> City of Everett <br /> Sewer Appi���ntion and Permit ''�, <br /> , <br /> N0. ��130 DATE � I <br /> � <br /> Sen�ice Address�g�— Utility Account No. I <br /> � <br /> Billing Ad�ress Permit Fee , <br /> i <br /> ICity, State, Zip Connection Chargels) — - i <br /> IOwner �Mortgagor) Total Fee . ' <br /> Billing Name --- <br /> Connection By <br /> Address Signed c�s�ome� li <br /> �I Phone _ ! <br /> I DESCRIPTION: Sewer District <br /> II Lot Block Monthly Sewer Service <br /> Plat._ <br /> IUnplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> ,ew nnec on Lateral <br /> Remarks: qbutting Lot Line <br /> i N S E W ft. <br /> I ApProved BY l,y£atQff��ueerflsnL <br /> II IMPORTANT! Issued By <br /> � CALL1-800•424•555548•HOURS t}3,i31/�i� °.���tpf_u�i0fi414o"l; i+P��: <br /> � PRIOR TO DIGGING i <br /> I CALL259-8811 FOA INSPECTION Nik�U:ir,IZdJ <br /> I $EWIJ? 3.'.U.QO <br /> � Inspection By I'�aFi'u �-'r'�_�u� —f�� <br /> I — � �.w nc �'<�T <br /> �: wy � ��. <br /> Datelnspected' <br /> I � m- ��� � P 2�130 <br /> I SEE SKETCH ATTACHED ��� <br /> � li�!�?�CTIOi'd <br />