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i <br /> �L <br /> CHART N0. <br /> evered <br /> � e <br /> � � -� _ .-�,-, _�, <br /> � <br /> City of Everett <br /> I <br /> Sewer Application and Permit <br /> No. 26959 DATE � v `� 1 <br /> Service Address��A� ►�����.le r Rf��ility Account No. <br /> Billi�g Address Permit Fee <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Conr,ection By C � �v o 1' G V� �'e 1 �'" <br /> Address Si9ned <br /> customer <br /> Phone <br /> DESCflIPTION: Sewe: District — <br /> Lot Block Monthly Sewer Service — <br /> Plat <br /> Unplatted Description PAonthly Sewer Constr. <br /> Trunk <br /> Type Permit: ��� �( — <br /> —� Lateral <br /> Remarks: <br /> �^ Abutting Lot Line <br /> N, g, E, W ft. <br /> r <br /> 0 <br /> � <br /> Approved By <br /> City Engineer <br /> IMPORTANTI <br /> Issued By �C' N M i f le r <br /> CALL 1�OOd24•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> � <br /> CALL 259�8811 FOR I(JSPECTION ;' �//� .��� <br /> Inspection B -`�� � `� <br /> Date Inspected '� � �� ' � ! <br /> SEE SKETCH ATTACHED N0. 26g59 <br /> U'i ILI'TY ['sILLIP,G <br />