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.[YCf2f1 <br />� <br />City oi Everett <br />Sewer Application and P�rmit <br />NO. ��v66 DATE 14arch 22. 19D0 <br />Service Address 71121 - 3rd Pl Ss <br />Billing Address <br />City, State, Zip , <br />Owner (Mortgagor) Clarence Go.sbel <br />Billing Name - <br />Connection 8y_ <br />Address <br />Phone <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Type Permit: �;gv coweS_ie� - 7•Io 729 <br />Remai ks: <br />IMPORTANT! <br />CALL 1-800-424•5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259�SE371�FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />-I� (�ST NC <br />S-]B�aA <br />i.i;i;:.:�SU L::ti`:f•li �likuiilC6`��: <br />Ff101k r6tG <br />tx_i.u�` s,c.00 <br />r:HEii; s'.u.00 <br />Utility Account No. <br />Permit Fee �o nn <br />Connection Chargels) <br />�otal Fee 30.00 <br />$19�ed Customcr <br />Sewer <br />,�;; <br />Monthly Sewer Service — <br />Monthly Sewer Constr. <br />Trunk <br />�aterai,_ <br />Abuttir.g Lot Line <br />N, S, E, W_ <br />Approved By AI.FRED L �rnr. <br />City Eng.neer <br />� <br />�ssued By 7 t�ekve�l <br />� � i <br />�"' � ' G/ i <br />Inspection By �� � G / <br />'� �Z �'� <br />Datelnspected � <br />N0. 2 � 6E�F <br />INSPGCTION <br />