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eve►en <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. �vos`� DATE e_ .�,�,�,.�r?7, 1987 <br />Service Address <br />Billing Address <br />City, State, Zip <br />CHART NO. <br />SE.v% i o CL/F�.•� T�Hlr <br />�!"_ /5�— 9� <br />Utility Account N�. <br />Permit Fee <br />Connection <br />Owner (Mortgagor� Total Fee • <br />Billing Name <br />Connection By <br />�� <br />Address Signed �-` � <br />r �er , c��;o�, <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat _ <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block <br />d K <br />IMPORTANT! <br />CALL 1-800-024-555548•HOURS <br />PRIOR TO DIGGING <br />CALL 2595871 FOR INSPECTION <br />SEE SKETCH A(TACNE[� <br />Sewer D <br />Manthly Sewer Service_ <br />Monthly Sewer Constr. <br />Tru�k <br />Abutting Lot Line <br />N, S, E, W, <br />lkil�.';:� ;':,.7F`ti OOOAti•ift.il Ffkt <br />t?ixti1:`Su�S <br /><.;LIA:F' s]U.UtI <br />Approved By �JIFL",� ��� <br />clfF � <br />Issued By <br />usy wgen <br />Inspection <br />Date Inspected <br />No. 26065 <br />I; !SFL-CTION <br />