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evereft <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO. 2-641.4 <br />DATE —/1-413 Vis <br />Service Address _3431 R nckc6e, I I e-r <br />Billing <br />City, State, Zi <br />Owner (Mortgagor) <br />Billing Name _ <br />Connection By e' dy of ' uVe►'etf <br />Address <br />Phone <br />Utility Acccunt No.1p7r-/0 `T t-410 <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />Signed <br />Customer <br />DESCRIPTION: Sewer District <br />Lot Block <br />Monthly Sewer Service_ <br />Plat <br />Unplatted Description Monthly Sewer Constr <br />Type Permit: Poo np , y. <br />Remarks: Ii <br />c.j // Tn X-1 0/g <br />e P//- <br />IMPORTANT! <br />CALL 1-800-424.555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved B <br />City Engineer <br />Issued BE)D/V %k 111e r <br />Inspection By 4931Z � / <br />Date Inspected e-D - ,:3r)r <br />NO. [ G t? 1 ;S <br />CUSTOMER COPY <br />