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I <br /> I CHART N0. <br /> � everetl <br /> e <br /> City of Everett <br /> f4tl.:L,"i0 i(1:23(1H U01?Illl(]650 i i l. <br /> � <br /> , <br /> Sewer Application and Pe�mit "°G`'`7o7�` <br /> ��.�uer, �,o.00 <br /> ran�c�; :::�.00 <br /> NO. 27673 DATE w. h �� �aop <br /> Service Address +nn5 - +-��„ Utility Account No. <br /> � <br /> Billing Address Permit Fee , i <br /> City, State, 2ip Connection Charge(s) I <br /> Owner (Mortgagor) e� � � Total Fee . <br /> Billing Name �--- <br /> Connection By Ta + � <br /> Signed � � <br /> A(�C�f055_ Customer <br /> Phone <br /> DESCRIPTION: Sewer District_ <br /> Lot _ Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By .�+Rm canw�mnn __ _ <br /> � Ciry Enginecr <br /> IMPORTANT! Issued By T � ��� - — <br /> CALL 1�800-024-5555 48�HOURS <br /> PRIOR TO DIGGING I <br /> CALL259S871<FORINSPECTION � � � I <br /> Inspection By � � <br /> Datelnspected 7 � <br /> SEC SKETCH ATTACHED Np, (Z�V73 <br /> IIfJSP[CTIO�1 <br />