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t everett <br />I� <br />�e <br />, City of Everett <br />G�l c- c. S'� �J <br />/�I�I --� c-;rA,��c�- <br />� <br />� Sewer A�a�lic+,�tion and Permit <br />;o c.r�,ar..�.r� <br />No. 25458 DATE �1`�%/�2 �� I <br />Service Address_, �� l 3�.�4 � �� lity Account No._ <br />(� /o =�� :7s����!�'�%�' �7 v,��— — <br />Billing Address___ -- - - _.- �ermit Fee_�?� <br />City, State, "Lp��-� �Jc� %r�,� U J_ Connection Chargels) _ <br />Owner (Mortgagor��_ <br />� <br />Billing Name__/� <br />Z` <br />Connection Bv /7�. <br />9 <br />Address. !�`?�� ��� �� <br />Pnor�e_---���___�3 7 <br />UESCRIPTION: <br />lot <br />Plat __ <br />Unplatted Descripti <br />Type Pe�mit: <br />Block <br />i� <br />! IMPORTANT! <br />��, CALL 1-800-024-555548-HOURS <br />'� PRIOR TO DIGGING <br />CALL259$81S FORIN�°ECTION <br />SEESKETCH ATTACHED <br />Total <br />'+i O as- <br />./ <br />Siyned <br />CuSiomer <br />� ^ <br />Sewer District � � ' --�r�•-- <br />Monthly Sewer Service_ _ <br />Munthly Sewer Constr. <br />Lateral <br />Abutting !_ot Lin� <br />N� S, E, W_ .. <br />ApprovedBy�•_.//� • / � _ <br />City Enginem <br />^ / �Issued By ¢�- � �_Jf.,e. <br />Inspection$y�� 6P�ii��.� <br />Datelnspected � - � ��6 <br />No. 2545$ <br />li�!:;;,SCTIUi� <br />z <br />0 <br />-i <br />� <br />m <br />-{ T <br />.. -� <br />N S <br />� m <br />�o <br />i_. •^ <br />-i c <br />U 3 <br />m <br />z� <br />m <br />/> Z <br />C <br />�T <br />.. .. <br />-i � <br />< <br />T <br />O � <br />-� m <br />m �-- <br />v: <br />0 <br />or <br />c� r <br />c cn <br />3 U <br />m <br />zn <br />-a r <br />. r� <br />n <br />.v <br />--� <br />n <br />x <br />� <br />c <br />-� <br />� <br />r <br />