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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />, <br />Ci iART <br />JrEif To Cf/9i'�iNG le. 77 <br />No. 25563 DATE i� �� � � <br />, <br />Service Address � -- Utility Account No. <br />Billing Address ''• � -� Permit Fee <br />City, State, Zip �� '� Connection Chargel <br />Owner (Mortgagorj � Total F <br />Billing <br />Connection By � <br />Address Signed '/ <br />-" Custamer <br />Phone � � <br />DESCRIPTION: Sewer Dictrict —�-�"— <br />Lot � � Block <br />Plat � Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />— <br />Type Permit: <br />Remarks: <br />;:_ � <br />IMPORTANTI <br />CALL 1-000-024-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL259S811FORINSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E. W <br />Approved By <br />Ciry Enpineer <br />Issued <br />Inspection By <br />Date Inspected�i2$j � <br />No. 2s5s3 <br />INSP6CTIUN <br />