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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 26969 <br />DATE � - "2 C' � I <br />CHART NO. �O — - <br />M 29-Z9-,5- <br />.• now,-�t�'• <br />s 2 "21- 69 <br />Service Address —__ Utility Account No. <br />Billing Address Permit Fee <br />City, State, Zip Connection Charge(s) <br />Owner (Mortgagor) Totdl Fee <br />Billing Name <br />Connection By C- l ± O <br />Address Signed <br />Customer <br />Phone <br />DESCRIPTION: Sewe. District <br />Lot Block - Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Tvoe Permit: Cl, ". , . <br />3 y3 4 O Q rrlo <br />Remarks: ,�� �R � �� _ 4 <br />Ywv 162 <br />3 `13 I <br />A// 3 e-a.,,,Q,--/in As a1 <br />�Q iN 0/ /YW IMPORTANT! @ 3.j 7P <br />CALL 1-800.424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued By 2)0N M IHC }- <br />Inspection <br />Date Inspe <br />CUSTONICR COPY <br />NO. ?69(39 <br />