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CHART NO. � l7- 29'S <br /> • everett <br /> �� Pti, ED �-Turn�ns <br /> e - <br /> City of Everett <br /> Sewer Application and Pe�mit � <br /> No. 26407 DATE <br /> Service Address �3 1 � .�A ��P. -S� Utility Account No. <br /> Billing Address Permit Fee <br /> City,SWte, 2ip Connection Chargels) <br /> Owner (Mortgagor) _ Total Fee_ <br /> Billing Name <br /> Connection By ` t ��� � � <br /> Address _ Signed <br /> c�:m�� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot 21 — �� Block Monthly Sewer Service_ I <br /> Plat I <br /> Unplatted Description Monthly Sewer Canstr. <br /> _ Trunk <br /> Type Permit: <br /> Lateral <br /> Remerks: Abutting Lot Line <br /> S. L N, S, E� W ft. <br /> � 4 ' S ' L , <br /> � �� � <br /> � � �� APProved By c;�v E�ro���x <br /> IMPORTANT! 1�� <br /> issued Sy.�1� ^� M ���['_ Y <br /> CALL 1�800J124•5555 46•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION / <br /> Inspection By��c�9� <br /> Date Inspected 7Q " <br /> SEE SKETCH ATTACHED NO. 2 6� O 7 <br /> CU:i OMBR COPI' <br /> I <br /> I <br />