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CHART NO. <br /> everc�N <br /> To v�vF'� <br /> � ; C,iGI�:���.ra i/�aG <br /> i <br /> 1 <br /> City of Everett <br /> Sewer Application and Permit . <br /> No. 25427 DATE .���.,�P� � <br /> Service Address -�� �7 3D ���Utility Account No. � <br /> Billing Address �7 ��—�""�� Permit Fee ��� �� <br /> City,State, 2ip �d Connection Chargels) "3 "� <br /> �Q �-- N � <br /> Owner (Mortgagor) -' Total Fee � <br /> Billing Name � <br /> Connection By.���' ,� J � � � <br /> z <br /> Address Signed c�:co�� � <br /> � <br /> Phone Lo sy- �3y� N <br /> DESCRIPTION: Sewer District � � <br /> Lot Block—.. Monthly Sewer Service � <br /> M <br /> Plat N <br /> Unplatted Description Monthly Sewer Constr. � <br /> _ Trunk , � <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line �y <br /> N, S, E, W ft• � <br /> H <br /> N <br /> Approved By �1 •�-� � <br /> cicv enyineer <br /> IMPORTANT! � � � <br /> Issued By � " � <br /> CALL 1�800324•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�811 FOR INSPECTION <br /> Inspection B� ��e/~"�'� <br /> �ate Inspected �" � �' � <br /> SEE SKETCH ATTACHED N�• �J�L� <br /> INSPECTION <br />