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• CHART N0. <br /> everett <br /> e5 � ,Z�� <br /> City of Everett s- <br /> Zo.2�- P��,�. � <br /> ` 3/o,r3 �3� -�: ' � <br /> k : r : <br />' ; .Sewer Application and Permit i b�N��� � ' <br />���_ � C . � � �I <br />� ' ` 26042 JanuarY 23, i9a� u�d�` e i <br />�;� i NU. b DATE <br /> ! <br />�:` ? Y. �lO3� . i7 .,1 � <br /> Service Address 3103 23rd St. ,f. �21;j,1 Cy�r •.•��d/ Utility Account No. <br />' Billing Address � Permit Fee_ 0 <br />:. , k <br /> City,State, Zip Connection Charge(s) <br /> � Owner (Mortgagor) Total Fee 0 <br /> 6- <br />'r ; Billing Name i <br />��' p Ci ty of Everett i <br /> Co�ne,:tion By <br />� � Address 3200 Cedar Signed �n Miller <br /> customer <br /> Phone 259-8821 1I <br /> x. DESCRIPTION: Sewer District . <br /> Lot Block • e • <br /> onthl Sewer Servic <br /> M y <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> _ Trunk <br /> Type Permit: Repair <br /> Laterel <br /> Remarks: " �� ' Abutting Lot Line <br /> N, S, E, W ft• <br /> , �, - ia 3�' �I <br /> •�, . , <br /> t , , � i � <br /> � <br /> _ i <br /> Approved By ni FaFn R �'t�FAi ' ' <br /> ..�7 City Enginnr <br /> S. fl ti .;r �!/• I <br /> IMPORTANT! i <br /> Issued By S�sv Hauaen <br /> CALL 1$00424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> I <br /> CALL 259$811 FOR INSPECTION � � I <br /> `i�' / // , i <br /> Inspection By� <br /> Date 1 nspected �— �2 — � ' � <br /> SEE SKETCH ATTACHEU Np, Z6�,J42 � <br /> i .�� <br /> CUSTOMER COPY - <br />