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CHART N0._F ' ���"� �/ 'S <br />� <br />everett <br />e <br />City of Everett <br />. . <br />-�.;,;. <br />�' �1 <br />: ;j�.,y/t',.j;'�i, <br />Sewer �►pplication and Permit <br />No. 26399 �ATE �-� 4 - g� L- <br />Service Address �2-Z- R � au �' ��— Utility Account No. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Permit F <br />Connection Charge(s) <br />Total <br />� �� �� � �� <br />$19�¢d Cusromer <br />DESCRIf'TION: Sewer District� <br />Lot Block — Monthiy Sewer Service <br />Plat — <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Permit: <br />m <br />n <br />o� c..,� � ,, <br />sa' � �� �,v ,� AccG y. <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOq INSPECTION <br />SEE SKF.TCH ATTACHED <br />,— <br />Lateral <br />Abuttirig Lot Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />Issued BY��'������� <br />Inspection B G <br />Datelnspected � -�d I �o <br />No. 26399 <br />U-iiLli'; .':i_L!;��� <br />