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everetl <br />� <br />City of Everett <br />Sewer Application and P�rimit <br />No. 25954 DATE w+a!�= 6� 2986 <br />Service Address �^13 M t4arirt� D <br />Billing Address ---- <br />City, State, Zip -- <br />Owner (Mortgagor) <br />Billing Name <br />Connection BY <br />Address <br />Phone <br />DESCRIPTION: <br />Lot 7� 8 Block ��l <br />Plat <br />Unplatted Description_ <br />Permit: <br />Remai Rs: <br />IMPORTANT! <br />CALL 7�860-024•555546•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />Utility Account No. <br />Permit Fee <br />Connection Chargelsl <br />Total Fee._ <br />Signed <br />Sewer D <br />Monthly Sewer Service -- <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N,S,E,W <br />Approved By �l� �gineer <br />Issued By_,��__e��--�:.� <br />.�f„'"'�"� -- _ <br />Inspection By <br />Date Inspected �-�� f7 <br />No. 25954 <br />i ��..;,�:c�r, or�: <br />