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eve�en ' <br />� <br />I� City of Everett <br />Sewer Appiication and Per.nit <br />CNART' <br />`�_<n/T� CHN,c-^;''i ' %CV7-�i�$G <br />I <br />N0. �SHSS DATE ��'` Q' -�G' � <br />— + n <br />Service Addreu `� � tility Account No. <br />Billing Address <br />City, State, ZiF <br />Permit <br />Connec[ion Charge�s) <br />Owner (Mortgagor) Total <br />Billing <br />Connection <br />� � � <br />; <br />� Signed iUi1171iFi N:��4i�i UiklflN.'_:�?4 KC�! <br />cu:mme. � <br />� �IIM��J�J� <br />��: �.�.��.�—. <br />L7�1 �3��__ <br />DESCRIPTION: Sewer Qistnct <br />Lot Block_ Monthly Sewer Service <br />Plat _ <br />Unplatted Description IJlonthly Sewer Constr. <br />, <br />Trunk <br />Type Permit: � __� <br />Lateral � �� <br />I Remarks: <br />IMPORTANT! <br />CALL 1500�24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />, SEE SKETCH ATTACHED <br />i..,� . <br />� <br />�. �: <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Enpineer <br />Issued <br />Inspection By � ��6r�^'w^ — <br />Date l nspected �° - S- � <br />No. 25858 <br />INSPGCTIO�d <br />