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everett <br />� <br />City �f Everett <br />Se�!ver Applicat <br />No. 27360 <br />_, <br />� <br />� <br />:t <br />ti <br />ion and Permit �., �� � <br />� r� ( I <br />� � � <br />DATE October 18. 19�� <br />Service Address �y}��*��_.___ <br />Billing Address <br />City, State, <br />CHART N0. _ <br />'_:�r7 � a +a. � wc, <br />ii- ��--tY <br />Utility Account No. <br />Permit Fee � �� <br />Cannection Charaels) <br />Owner (Mortgagor) Total <br />Billing Name <br />Co�nection By <br />Address <br />Phone <br />Signed <br />c���a�� <br />DESCRIPTION: Sewer District <br />Lot �_ Block s5o <br />Plat Monthly Sewer Service <br />L1�ti <br />Unplatted Dexription Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />Y <br />� <br />IMPORTANT! <br />C:�LL 1300-424-555548•HOURS <br />PR�OR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEI_ SKETCH ATTACHED <br />,� --{ Abutting Lot Line <br />J N, S, E, W <br />'1�tn <br />APPfOVC'C) By— ili^n"7 P. "T�}'.A7 <br />City Engmeer <br />Issued By ^ti�rrternt � NCTF.Od <br />Insperiion <br />Date Inspected <br />No. 27360 <br />i�J,. : C ilC�� <br />