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ever�tt <br />� <br />City of Everett <br />Sev�rer Applicatian and Perrrnit <br />CHART N0. y —� - �� { <br />„ F -. . . 1 i �, „•�-_ f=-a <br />No.26412 DATE /! 7�l f;o �_ <br />Service Address �Z � � C'.�=1 � n N Z�1- - Utility Account No._ <br />Billing Address <br />City, State, Zip_ <br />Owner (Mortgac�or) <br />Silling Name <br />Connection By� ��' �/ �� � � IJ�' Y'�== 1- �f� <br />Phone <br />DESCRIPTION: <br />Lot B lock _ <br />Plat <br />Unplatted Description <br />Type Permit: �<; nr , ,r <br />—� <br />Remarke: D!� f�CQ� �7 <br />i� � " T /� (/C ,�,� <br />- • - / � i.• <br />Permit <br />Connection Charge�s) <br />Total Fee <br />�_e.✓C' 2 . � � i9 i i...� �� � �� <br />-�o �� � P' 6 � <br />.j �� � � , G,l �/`� �� � / ,L-�/Un �,� <br />� IMPOftTANT! � <br />CALL 1-800-024-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 25J-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthiy Sewer <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ciry Engineer <br />Issued By �'N %� � ��[' r <br />r ��, <br />i <br />Inspection B <br />Date Inspected_ � � S' � / <br />rvo. 26412 <br />U-i�l Li'i `�` G i 11; i�! �, <br />