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' �" CHAHT N0. <br /> everett +, . <br />�, e . <br /> City of Everett <br /> Sewer Applicction cnd Permit <br /> N0. �v978 DATE 11 - cl - c��-1 — <br /> Service Address � 3 �� l`Y1 G f1 Q�� _ Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, Zip Connection Cha�ge(s) <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection ey r � �'•1 ^ F C uC E'e.i'1- <br /> Address Signed _ <br /> Cusiomer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � �A � r <br /> Lateral <br /> Remarks: � n <br /> Abutting Lot Line <br /> N, g, E, yy ft. <br /> „ , „ <br /> � � I <br /> Approved By <br /> ,�/ / r Q� /Ll/.� @ /�--t/ • CitV Enqineer <br /> COC� / � ' /n <br /> IMPORTANTI �p N M I I�C' Y <br /> Issued By� <br /> CALL 1$00�424•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL259$B17FORINSPECTION / <br /> (nspection By <br /> Date Inspected � ` <br /> SEE SKETCH ATTACHED N�• � ��o <br /> U i ILIT'( f31LIJh!G <br />