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everett <br />� <br />�:ity of Everett <br />Sewer Application and Permit <br />N0. LJ�O� DATE ��._+_ ? �5�1'►8b <br />Service Address �i �~ <br />Billing Address <br />City, State, 2ip <br />Ovmer (Mortgagor) <br />Billing Name <br />Connection By �n ^"^"'^ -- <br />Address <br />Phone 3S� � <br />DESCRIPTION: <br />Lot � ��T— Block 737 <br />Ir.HART NO. <br />Utility Account No.. <br />Permit Fee 2 'N <br />Connection Charge(s) <br />Total Fee � S� <br />� ,: <br />� <br />Signed � // �.-lor• <br />Custom r <br />Sewer <br />Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Ap�roved By �rro�a+ e +�ar. <br />Ciry Engineer <br />Issued By w.�nant S ►�r�.+e <br />� o <br />`\1 � w.� 1 <br />j��U.�i� /,7�T�lNWI� <br />�' LY <br />Inspection By —�� <br />Date I nspected �� � �' <br />No. 25606 <br />INSPECTION <br />