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� - CHART NO. <br /> evereN <br /> e � . - <br /> � <br /> City o( Everett � �t � �y g Q g � g � <br /> r ,.. [- w ... �� o � o � J�PT -TD - C/.!�'::�/�G <br /> ' M M M tk t1 W M V � <br /> Sewer Applic��i� an�l F�e�nit a- .S- .3 � <br /> .-� u. -� s�yi 0. �. �y/ .. <br /> � � � � U :11 � a�yti i � <br /> NO. ZS67H � � Tz� � `�' �., � s� � '�{ rt <br /> . <br /> Service Address Utility Account No. <br /> Billing Address �_ Permit Fee�_ <br /> City, State, Zip Conn�ction Charge(s) <br /> Owner (Mortgagor�_h Total Fee�Q�e <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Cuslomrr <br /> Phone � <br /> DESCRIPTION: Sewer District <br /> Lot u e Block yy _ <br /> i <br /> Plat Monthly Sewer Service <br /> Unplatted D�scription Monthly Sewer Constr. <br /> Type Permit: <br /> — Trunk i <br /> eftar nw Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> i <br /> Approved By <br /> c� e� <br /> IMPORTANT! <br /> Issued By�i�_ <br /> CALL 1�600-024�5555 48•HOUflS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION <br /> Inspection By �" �7-Fy7 <br /> Date Inspecied_1?S/�`�� <br /> � c <br /> SEE SKETCH ATTACHED N0. 25v7� <br /> IfJGPECTIO��' <br />