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erett <br />e <br />City of Everett <br />r.-...._`�_� <br />;•�� {,��r�.:L, — �r�8830 <br />Sewer Application and Permit <br />NO. 26987 DATE ���iL� <br />Service Address b� � ��yQ���e/���tility Account No. <br />Billing Address <br />City, State, Zi <br />Owner (Mortgagor) <br />Billing Name <br />Conrection By C� �'•1 � t' �I�'VP'� _ <br />Permit Fee <br />Connection <br />Total Fee <br />Signed <br />cu:tomer <br />DESCRIPTION: Sewer District _ <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Tvro Parmit• <br />IMPORTANTI <br />CALL 1 SOOd24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL259$811FORINSPECTION <br />SEESKETCH ATTACHED <br />Laterel <br />Abutting Lot Line <br />N, S, E, W <br />Approved <br />c+i� <br />Issued By /�% � �'!� <br />Inspection <br />Date I nspected <br />N0. 26987 <br />U ilLli'1' f'ILLIi�f� <br />