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CHART N0. — <br /> evere2t ,� � <br /> � r <br /> � '� � <br /> � c� , t/n rl�.} , ;�. 5�2�6P <br /> City of Everott � s � <br /> ci � ,�.? <br /> � <br /> � a <br /> Sewer Applic�#�anc! �ermit <br /> A o s � � <br /> N0. `���v DATE JMl► 2f. 1906 <br /> Service Address 4701 ll�o�� Utility Account No. <br /> Billing Address s� Permit Fee �•� <br /> City,State, Zip �ws�tt. 1Y► fl207 Connection Chargels) <br /> Owner (Mortgagor) �.c. Be�b� Total Fee 7�•� <br /> Billiny Name � <br /> Conrxction By .�_ <br /> Address Signed � � � �1� " � '- <br /> custorxr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Manthly Sewer Service <br /> %at <br /> Unplerted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Laterel <br /> Remarks: ,p � <br /> P Abutting Lot Line <br /> N, g, E, W ft. <br /> Approved By�*—ror^� �_ '-r�e�L <br /> Ciry Enqineer <br /> IMPORTANT! <br /> Issued By <br /> CALL 1�800�124•555548•HOURS ' <br /> PRIOH TO DIGGING <br /> CALL 259-8871 FOR INSPECTION <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED Np, Z5T78 <br /> IN�PE.CTIC�: <br />