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I everett <br />II � <br />� <br />I City of Everett <br />`,t �hFJ.eTi.r/G <br />Sew�r qpplica� ion and Perm9t <br />No. 25445 DATE — <br />Service Address�S� —p ������`-��=/`-C�"�ility Account No. <br />% / I -�=� <br />Billing Address °ermit Fee ` <br />:;ity, State, Zip Connection Chargels)_ <br />Owner <br />9illing Na <br />Connection <br />i Phone_��� �—�— � <br />� DESCRIPTION: <br />Lot _ Biock <br />I Plat <br />I Unpiatted Description <br />iTyp^ Permit: <br />IRemarks: <br />I <br />IiV1PORTANTI <br />I CALL 1-800-424-5555 48�HOURS <br />PRIOR TO CIGGING <br />I CALL 259�8811 FOR INSPECT�ON <br />SEE SKETCH A1�TACHED <br />Total <br />� <br />Y�� <br />,� ��e�9u II <br />� I� <br />9 � .; �, tv1.f1"7�1 <br />Si ned , c�s���� 'I <br />Sewer District <br />Montyly Sewer Serdice. <br />Monthl � Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By / <br />CitV Enginccr <br />Issued <br />• � C.'t%m���� <br />Inspection By — <br />Date Inspected �-� ( -g� <br />N�. 25445 <br />� � �;�,. . <br />� Ti <br />�r �--I <br />N S <br />m <br />co <br />mc <br />� <br />om <br />-� � <br />x -i <br />m <br />O � <br />a -+ <br />rx <br />-� v� <br />� <br />�, <br />�t <br />-a ri <br />x <br />m �- <br />� <br />or <br />c� r � <br />c �n <br />mV <br />zr <br />� �� <br />n <br />� <br />