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' CHART NO. ` ` - " ' " <br /> everett <br /> e <br /> � City of Everett <br /> ,� „ <br /> z=o�-n N6 <br /> ' • • . ia-z� - e� <br /> ' Sewer Application and Permit <br /> No. 26975 DATE � e ^ 4 - � � <br /> Service Address 3 $ N ) NnY �"'t� ly Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, Zip Connection Charge(s) <br /> Owner (Mortgag�r) Total Fee <br /> Billing Name <br /> ConnectionBy �.1 C1��JPrQ'�� <br /> Address Signed <br /> c�:m�. <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remarks: � <br /> Abutting Lot Line <br /> rv. N, S, E, W h. <br /> .� � <br /> �� � <br /> 0 <br /> . <br /> �33� S• a [ M'K • 3�-7�/ APProved B�/ CitY Enqinen <br /> Y <br /> IMPORTANT! T� �N �� /lP Y <br /> Issued By 1 1 <br /> CALL 1�800424•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8671 FOR INSPECTION <br /> Inspection By �Q�l <br /> Date Inspected '� —9 — �� <br /> SEE SKETCH ATTACNED N0. �6 � j � <br /> CU�i OMER COPY <br />