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��: <br />.� <br />��x <br />�Hf~/� <br />y � r3i <br />�C C] <br />H� <br />'� rx+ � <br />[A N <br />Zp <br />�HC <br />OM <br />��g <br />G�. c� <br />t+y� <br />yy <br />M <br />C'� C9 y <br />��M <br />H O fy/r <br />�— <br />�: <br />evereft <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO. Z77H�J DATE .; a / n'� n <br />� �� <br />Service Address�, � � L � ` ' �' � " "' n <br />BillingAddr�ss��0 �� �� �-iArri�r,n/ <br />ICity. State, Zip <br />�� Owner (Mortgagor) <br />j Billing Name <br />� <br />IConnection By (� { �G C � � �° '•�' �r <br />0 <br />CHART NO. �- a`"� � � �'� <br />.- _. � <br />. �,_ <br />�,, <br />:. <br />Utiliry Account No. - 'I <br />Permit Fee �, <br />Connection Chargels) � <br />Total Fee i <br />Sig�ed <br />customer <br />DESCRIPTION: Sewer District <br />Lot Block ' Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />I <br />Remar�s: <br />i � -iSt <br />-�3/7 /1��,�c/utn.�J 5�l7 � <br />�_�� �r,�..r�,�� �•�. <br />; I PO TANT! <br />i <br />CALL 1$OOd24-5555 48-HOU RS <br />�. PRIOR TO DIGGIPIG <br />I <br />CALL 25988j�1 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N,S,E,W <br />i <br />i <br />� <br />Approved By � <br />c�iv E�v��en <br />Issued By�� /l�l r 1�i v — I <br />J <br />/� i <br />Inspection By_��4 / � I <br />i <br />Datelnspected / � 1�-7 r� � <br />No.27785 ; <br />U"i ILI'iY I;ILI i?t�; ; <br />