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CHART N0. <br /> everett <br /> To PosZ-iivF, <br /> � �i -7- 2'1- `'o �I <br /> i <br /> a <br /> City of Everett � $ $ <br /> : � ^ I <br /> M N � ! <br /> Sewer Application and �?�mit '� <br /> � r � � I <br /> N0. Z7H47 DATE J�Y �:� V� :.- ; <br /> Service Address �8 �0�'`i'Q St Utility Account No. <br /> Billing Address c '� Permit Fee 10.00 <br /> City,State, Zip L��� � �201 Connection Charge(s) <br /> Owner (Mortgagor) '�� �i'OtT Total Fee 10.00 <br /> Billing Name �e <br /> I <br /> li Connection By �� <br /> I Address Signed <br /> customer <br /> I Phone 2�"�� <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> t <br /> Plat !Vlo�thly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: p��8�� <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engineer <br /> IMPORTANT! <br /> CALL 1�00-024-555548•HOURS Issued By Sumr�,� <br /> PRIOR TO DIGGING <br /> CALL 2595611 FOR INSPECTION <br /> III Insper,tion By � <br /> IIDate Inspected 7' � " 9u <br /> SEE SK�TCH ATTACHED NO. 27$47 <br /> INSPE(;i ION <br />