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i <br /> CHART NO. <br /> everett ��- t���' ���� t�� Z- is-S,� <br /> e <br /> City of Everett <br /> � <br /> Sewer Applic�tion and Permit <br /> I N0. L�O�� DATE _ Pa2�•,,�z;r r,. �can <br /> Service Address_ . Utility Account No. <br /> Billing Address Permit Fee �o �+ - <br /> City,State, Zip Connection Charge(s) K�- <br /> . <br /> Owner (Mortgagor) Total Fee '+o-� <br /> IItility Developoent !ee OrR. 1171-US <br /> Billing Name � eever 471.00 <br /> Connection By <br /> Address Signed <br /> Custamer <br /> � Phone <br /> DESCRIPTION: Sewer District �c/A <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: U:;rOd:'f;9 _:ulPti OIH1�1p41's? ?i i' <br /> Lateral <br /> k1�0?'TOS1 <br /> Remarks �,���; �';p,iX7 <br /> Abutting Lot Line� <br /> N S E W t i7l-f� 3�i?i..l� ft. <br /> CHEU; ''..Ol.UO <br /> Approved BY <br /> iry ngmeer <br /> IMPORTANTI <br /> Issued By <br /> CALL 1�800-024•5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�6811 FOR INSPECTION /> ;% - <br /> G � <br /> Inspection B ' � <br /> , / � �(� c <br /> Date Inspected��_I <br /> SEE SKETCH ATTACHED N�• 21U61 <br /> I f�1SPFCTION <br />