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��� <br />1 1_' <br />evereri <br />e X <br />`= � ��� � � <br />City of Everett '� <br />-' ..c w t�i y� ' <br />.: `� : : , :+ � i <br />Sewer Application and Pef+ir�it;� �g � <br />�l �, '.�`'�'��}t'-'�, <br />p� ^ t � J � , <br />� � ,:= 3 � � s W -.�L . <br />No. 27234 DATE � , _ <br />Service Address <br />Billing Address - <br />City, State, Zip , _ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By _ <br />Phone �,_ <br />CHART <br />Sen� iv �os�, iujF -i�--9i <br />� �- ��_� �- < <br />�``a- _. $��. �:. <br />c� :-, n; .v ci o�.: �p. � r? <br />.s � .� w (`I :� i:i f. �rt [� <br />1 :J <br />� :� :« r r > <br />r1 �'. 3 � l <br />� �7 <br />_� u��4e�- •-.� .. <br />w � �� <br />— u r `-�- g c• � '`.1� :_ <br />���.��.ys,��?�.:s4� <br />Utility Account No. <br />Permit Fee 70 GO <br />Connection Charge�s) _,___�_ +�27273 - <br />Total Fee 30 ^o <br />Ord. 17.71-65: on i.ermit 27233 <br />Signed <br />Cuslomer <br />DESCRIPTION: Sewer District ^� ii <br />Lot s Block �� Monthly Sewer Service — <br />Plat Tam * * w � � <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 7�800-024�5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8871 FOR INSPECTION <br />SEE SKETCFi ATTACHED <br />Abu[ting Lo[ Line <br />N, S, E, W <br />Approved By <br />ity nginecr <br />Issued By��ak.,}-t�6r.acd <br />Inspection By/ °G-���� � <br />Date Inspected �'t -� y ��' <br />No. 27234 <br />li!CI'I-C:�IIUf`; <br />