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CHAFiT NO. <br /> everett ,.,,�� C/�a��y 7�5�8 <br /> e <br /> City of Everett <br /> Sewer Application and Perrrit <br /> NO. 26ZOO DATE <br /> Service Address_ Utility Account No. <br /> , _,�„ � Permit Fee - <br /> Billing Address � "-' <br /> Connection Charge(s)�� <br /> City,State, Zip <br /> Total Fee , ---- <br /> Owner (Mortgagor) Sp�cLl BtilitY l�ae Osd. 1175�85 <br /> Billing Name � - wter 152.00 <br /> yerez �00.00 <br /> 552.00 i <br /> Connection By <br /> Address Signed c�:co�m� <br /> Phone <br /> Sewer District �u i_ <br /> DESCRIPTION: <br /> Lot � Block � Monthly Sewer Service ---- <br /> Plat In._�.... ..�.. i — <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk , <br /> Type Permit: tNx Oonaoctip► Lateral <br /> U5�`l:i/Bi 10�U ii52°..• k�t3 <br /> Remarks: Abutting Lot Line��il��i� . �, <br /> N, S, E. W , �, <br /> Ft9i; 845.OD <br /> IiEGN 4."[f.i0 <br /> L'' �kCti a1.riU <br /> . <br /> Approved By_ �� ��1 .,�,� — <br /> npineer ' <br /> 1iU0DU�t'�6 <br /> IMPORTANT! R w4 w <br /> Issued By�;Y�� <br /> CALL 7500�424'555548-HOURS ��.�� i3p,�`;l <br /> PRIOR TO DIGGING �111 47,�.y.(Y.} <br /> 117t-5 ..f1 <br /> CALL 259�8871 FOR INSPECTION �� �.-�� <br /> Inspection By <br /> Date Inspected G��� <br /> SEE SKETCH ATTACHED <br /> N0. 262�� <br /> INSP[CTIUN <br />