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CHART NO. <br /> evereit <br /> � � <br /> -o <br /> � .)��„IT To /'a�-T.�'-� �D/H�NG. <br /> � <br /> City of Everett � R � <br /> 00 <br /> M W <br /> CJ <br /> Sewer Application and Permit � , � <br /> � � � <br /> 's s �s � <br /> No. 25750 DATE � - ��- g� <br /> Service Address_ � � � f r� ` � � I l �V� Utility Account No. <br /> ��� ,..� <br /> Billi�g Address Permit Fee <br /> City,State, Zip Connection Chargels) <br /> �/f ��-� <br /> Owner (Mortgagor�__ '_� � r i ! � ' - � C_ Total Fee_ ,�! % <br /> Billing Name <br /> Connection By_ � ' � , (,;� f �t i.� � <br /> Address__ Signed <br /> Customer <br /> Phone 355 3 y�� <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description _Monthly Sewer Constr. <br /> Tn�nk <br /> Type Permit: :1 1 .)�., ; � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, �, E, W ft. <br /> Approved By 1� ; . � ; �' !/'� ,/L. <br /> Ciry Enqineer <br /> IMPORTANT! Issued By ���� ''% �� � ��'��� �' '�� �� <br /> CALL 1�00�424-555548�HOURS ! � <br /> PRIOR TO DIGGING <br /> CALL 259$811 FOR INSPECTION r <br /> Inspection By <br /> Date Inspected s 1 <br /> SEE SKETCH ATTACHED Np, 25750 <br /> INSP6CTIOi\� <br />