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everen <br />e� <br />City of Everett <br />Sewer Application cnd PerEnit <br />N0. Zp� ! 1 DATE ��'� 6' �'J[� <br />Service Address ��� ��� "'"� Utility Accoy�t No. <br />,�} � <br />Billing Address ` ��i'' � �� ' �;' //C!L iE.. i � -�� LG•'N/%�p�mit Fee �� D <br />� � . _ , � -- : // %/� �- i <br />� / )(_. �: .�. Connection Char (s)' %•i- ' �"' ` � <br />l��lr',�J �. 9e <br />City, State, Zip "' �' % � <br />/ � � <br />, /1I / 4�i�1 1/Lr.l.�-! r'��-�s„L�1 � Total Fee_�— �; � . ' , r � <br />Own.r (Mortgagor) 1,F , Sti; <br />_.� �_..._, . L ,f/T<- ; ;%`�- •' <br />Billing Na.ne =-� � `�, %� �- 1 i; %` ' [' <br />!., �L,�-` <br />,. . �% <br />� !. r_i L/. �:Sp /•���f'� �/G..._ � �:�_� ; � <br />/ �rj. �'f % � , <br />Connection By / <br />/ � �Address ^ �, , . L- - ''`--� �"-':-'1'-`L .f_ Signed � � Curtomer . � <br />� - <br />! �; �--.,..�,_ fl lti�� <br />Phone f , ,- <br />DESCRI T)�N: Sewer District f"� /�%/���� �' <br />Lot ! lO Block / Monthly Sewer Service <br />Plat � � � " <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1�800d24-555548•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />t, <br />/ <br />Abutting Lot Line�l� <br />N S E W ft. <br />W.Ef() i55.U0 <br />�r�s svt.so <br />6 5�K.C�yY�� �S3.Sa <br />� �_, .lf"{RI; � �qJ <br />Approved By � ' ��� � — <br />Stilkit �+30.t'A j � <br />Issued By , <br />ii000Q`i58B <br />IIRTE7t f 50.t1D <br />C,HE�:G� <br />Inspection B,� <br />Date lnspected 3 -l` �` <br />IhSPECTION <br />No. 26371 <br />