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� <br /> f CHART NO. <br /> ` lVtrlll r—,�uTr 'S'O C rN�'R� <br /> � i I- zo-� <br /> Cky of Everett <br /> Sewer Appl'Kation and Permit <br /> N0. Z��T2 DATE <br /> S�rvice Address +�+��►�JIM — Utility Account No. <br /> 8illinp Address Permit Fee �p, � — <br /> `' Gty,State, 2ip�.�.�Tp ��{1l Connection Charge�s) <br /> OwnK (Mortgagor) ....��� ���� ia� Total Fee <br /> Billinp Name <br /> Connection By �- � NKk tit <br /> Addreu Signed <br /> cui;orner <br /> P110fIQ <br /> DESCRIPTION: Sewer District — <br /> Lot _ Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral _ <br /> � Remarks: Abutting Lot Lin�U/i.1/f1f1 10:�:11M II(kMlk'(1,�'i IY1t <br /> ; N S E, W , .. ; ft. <br /> ;;E{1�i2 410.1� <br /> i:-iY.J1 ilU.UO <br /> Approved By ��D R. 7riE7►L <br /> � City Engineer <br /> IMPORTANTI Suay ttauqea <br /> Issued By <br /> CALL 1300424-555548•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259$817 FOR INSPECTION � j <br /> Inspection By J� <br /> Date Inspected �% <br /> I SEE SKETCH ATTACHED Np, 2667Z <br /> IINSPECTION <br />