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. <br /> CHART NO. <br /> � � <br /> � S�.vf >o Cb'�9QTi.✓G <br /> 3 - 3 -8� <br /> City of Everett <br /> � � $ S <br /> �?4 ? <br /> +'M 1�- <br /> Sewer Application and Permi� , � " � <br /> . � � -, � <br /> No. 25985 ' <br /> � � , � <br /> DATE n.�,.. 3 ige� �f� , _' <br /> Service Address ■�+a c�l�. r-1_ .+.. Utility Account No. <br /> Billing Address- 4.–. Permit Fee- 70 00 <br /> City,State, Zip_ e..+�.►�� n AB20� Connection Charge�s)_ 3�0 00 <br /> Owner (Mortgagor) v..+..,.. ._.a r�_�� �1 Total Fee <br /> ]0 00 <br /> BillingName_sa.. ep�clal Otilittlw. 0�. 1171–BSi =�00,00 <br /> Connection By a�...,.. u,.i�,,.. �e,_*�,.�... <br /> Address Signed � <br /> cu:tomer <br /> Phone <br /> DESCRIPTION: Sewer District �� ___ <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Typa Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> ity rpineer <br /> IMPORTANTI <br /> CALL t R00-024•5555 48•HOURS Issued By ����_�� s �{�y��d <br /> PRIOR TO DIGGING <br /> CALL 259-8611 FOR INSPECTION <br /> Inspection By , <br /> — _ Date Inspected � �� <br /> SEE SKETCH ATTACHED ,vo. 25985 <br /> INSPGCTION I <br />