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CHART NO. <br /> everett . <br /> � o�-' �7(J�.a C�u�-,� G/3/S 8 <br /> ' of Everett � � � � 'R S g � <br /> � mr oa <br /> �; � � � � ` � " « <br /> Sewer Application and Per�a� � � �� � � <br /> �+C � � � d <br /> N0. Zv`�Z� DATE Jase�r 26�19ee <br /> Service Address 1�1� Lodc�l�11�= 1►�+ Utility Account No. — <br /> Billi�g Address <br /> 1�=y �+.+.�rsr Permit Fee 10.00 <br /> City,State, Zip ='ws'�it NA fs201 Connection Charge�s) <br /> Owner (Mortgagor) 1r�olA z �obi--"�t= Total Fee io-� <br /> Billi�g Name =� <br /> Connection By D a lraed�elA Cbzc. <br /> Address S]07 1]!eh �w � �ha�l� '�� Signed C�to�„e. <br /> Phone ■ �-9� <br /> DESCRIPTION: Sewer District <br /> Lot i et �� .re��lo�� � �� �1� 3]9 Monthly Sewer Service <br /> Plet *�� �+• 2 — <br /> Unplatted Descrip�ion _Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: y�t – ait�ntiow p�e�it <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W_ ft. <br /> Approved By <br /> Ciry nqineM <br /> IMPORTANT! <br /> Issued By �..ewt e �Lai <br /> CAIL t-800d24-5555 48-HOURS <br /> PRIOR TO Dl,GING <br /> CALL 2595811 FOR INSPECTION � <br /> In>pection By__.dE� <br /> Date Inspected 3'/�r� — <br /> SEE SKETCH ATTACHED N�• 26521 <br /> INSPECTION <br />