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� <br />everett <br />e <br />Gity of Everett <br />Sewer ApP���ation and Permit <br />No. 25609 DATE +�� i%�---- <br />$ervice Address !� <br />Billing Address <br />City, State, tip <br />pwner (Mortgagor) <br />Billing Name <br />Connection By <br />w.� �61�u�til�e. t ew�, 75 _. <br />Address r fl <br />Phone �'� <br />�r�HART NO. <br />Utility Account No. <br />Permit Fee <br />Connection Charge(s) - <br />Toial Fee <br />J _ <br />Signed ���o,,,�, <br />$ewer District <br />DESCRIPTION: <br />Lot ��— Block '+__., �— Monthly Sewer Service <br />Plat Monthly Sewer Constr. <br />Unplatted Description T _ _ <br />Type Permit: � �� <br />.�--- <br />CALL 1�800�424•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595611 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Li�e <br />N, S, E, W <br />A �Ylfi' — <br />Approved By <br />Ci�V Enq�nN/ <br />ISSUCd BY <br />�dct.�/� T <br />U.�� <br />_ �� �LG wn' /�A <br />Inspection By <br />Datelns�ected �� ` <br />No. 25609 <br />INSP6CTION <br />