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CHART NO._ <br /> CVtl�l1 �jF.v> Yc !/��,�'�•✓G S/i.��t? 7 <br /> e � <br /> .. <br /> of Everett � g S g <br /> � � � � P <br /> �». » u <br /> P <br /> Sewer Application and Permit � . � � ,_ <br /> c � � � � � <br /> NO. �vOTO DATE <br /> Service Address ,�� R–��+ C f/�.ib Utility Account No. <br /> Billing Address Permit Fee ��� <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgagorl����— Total Fee ��� <br /> Billing Name <br /> � <br /> Connection By ��,'' d � � � _ - _. <br /> ,i <br /> Address Signed c�srom�. <br /> Phone �� r7 '�`Gl J 7 <br /> DESCRIPTION: Sewer District — <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Laterel <br /> Remarks: Abutting Lot Line <br /> N S, E, W ft. <br /> ApprovedBy I�L�'K�f"l) /� , i/��f��.. <br /> citv e�w�naar <br /> IMPORTANT! IssuedBy {�I61itl�fi/P��I�I�NC� <br /> CALL 1�SOOd245555 48•HOURS / <br /> PRIOR TO DIGGING <br /> CALL 2595871 FOR INSPECTION <br /> Inspection By <br /> Date I nspected �` y f7 <br /> SEE SKETCH ATTACHED Np, 26OTV <br /> INSPECTION <br />