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� <br />evei ett <br />e <br />City of Everett <br />�� <br />s � �� <br />� � wr <br />0 <br />CHART <br />Sewer Applicction cnd Perri�it� �. � s_. <br />� ����� <br />� ;� y u <br />N0. ����� DATE ��_19i9 �� <br />Service Address R3� �-�-�: Utility Account No. <br />Billing Address 5027 JSrd t��+ N � <br />City, State, Zip �rtl, :t11 �8201 <br />Owner (Mortgagor) � ��� <br />Billing <br />Co�nection <br />Phone ]SS-599� <br />DESCRIPTION: <br />Lot �____r_ Block <br />Plat N, � -l�r lark <br />Unplatted DescriFtion <br />Type Permit: <br />Remarks: <br />� <br />IMPORTANT! <br />CALL 1SOOd24-555� 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />����r �o �>�-,Nc, <br />� i_ �c�_Y:�, <br />Permit Fee 2.50 <br />Connection Chargels) <br />iotal Fee �.SO _ <br />� /, , .e <br />Signed - /" , � � �_. �- � <br />��ustomer <br />�ewer Uistrict <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By <br />Ciry Enqineer <br />Issued <br />Inspection <br />Dateln;pected <br />No. 27231 <br />I NSP[CTION <br />