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i <br /> CHART NO. <br /> Qveiett f � ���� <br /> � s s- s8- �o <br /> �� <br /> City of Everett ,r� � ' <br /> Ni u� r� I <br /> 0 <br /> $�wer Application and Permit N , r� � , ; <br /> , � � t I <br /> ' N�. 27536 DATE , � y r� — <br /> Service Address iima i t �— « -- Utility Account No. <br /> Billing Address � a� <br /> Permit Fee ]o 00 <br /> e Conncction Chargels) <br /> City, State, Zip_ w .+tti vn �c�n _ — <br /> Aaron o. or pollie I. Dilwver Total Fee 30.00 <br /> pwner (Mortgagor) <br /> Billing Name � <br /> i <br /> Connection By <br /> Address Signed c�sca�� <br /> Phone � <br /> � DESCRIPTION: Sewer District <br /> I �at Block Monthly Sewer Service <br /> Plat <br /> Unplatted Oescription Monthly Sewer Co�str. <br /> Trunk <br /> Type Permit: W t t� ��c+.... ti <br /> Lateral <br /> , <br /> Reinarks: Abutting Lot Line <br /> N S E W ft. <br /> � r <br /> ti' <br /> I �� <br /> � <br /> . � <br /> Approved BY nrrnvn e �ir. <br /> City Engineer <br /> IMPORTANT! Issued By._.�:acqti � "^'�"'j — <br /> CALL 1�800�424•5555 48•NOURS <br /> PRIOR TO DIGGING <br /> � , <br /> CALL 259�8811'FOR INSPECTION � -� � - j <br /> / 7 <br /> Inspection B _ <br /> Date Inspected ��� �/��� <br /> SEE SKETCH ATTACHED <br /> No. 27536 <br /> I!`!; i'�CTIOf� <br /> I <br />