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,.- <br />everett <br />e <br />City of Everett <br />Sewer Applicatian and Permit <br />NO. <br />C rJ 4�-F !� DATE 1/31/8c <br />2619 West Marine View DRive <br />Service Addre <br />Billing Addres <br />City, State, Zi <br />Owner (Mortg; <br />Billing Name_ <br />Connection By <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />City of Everett <br />CHART NO. � � <br />� : - _ <br />o .. . <br />o �: � <br />._ � <br />o .. <br />o ' _ '_ <br />� =� <br />�,. _ " _ <br />.1 <br />Utility Account No. <br />Permit Fee None <br />Connection Charge(s) <br />Total Fee None <br />Don Miller <br />Signed <br />Customcr <br />�; <br />�, <br />�� <br />Sewer District <br />Block — <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />,;,. Trunk <br />.� <br />j�e.E' _'Z� �i ,�-.2/ 9,9 is J2�17 <br />�nx-'s`l �'o/£. �l (c_L� d- 2G /Y s /r `. <br />�S .�//�� �.S" n t /yl,,c/ q7` �,,Il� <br />�ePf� o F S, Y i s�'. <br />IMPORTANT! <br />CALL 1-800-02q�5555 48•IiOURS <br />PRIOR TO DIGGING <br />CALL 2598811 FOFl INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />o,r> N, S, E, W. <br />Approved By A' R' `�"=a1 <br />Qry Engmeer <br />Issued Bv E• Bond <br />Inspection By_�� %�l.Lb�A-�j�'— <br />Date Inspected � � /� — <br />N 0. _ '� c} Cl . <br />CU:� I OillTi i C�l'1• <br />