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i � <br /> CHART NO. <br /> everen <br /> e <br /> $C.v.— Tv CFlR•e.Ti.✓Cr <br /> City of Everett Z _ Z� -0 7 <br /> Sewer Applicat�on Qnd Permit <br /> N�. 253T8 DATE /��� `7 <br /> Service Address `�9���/T �E � Utility Account N�. <br /> Billing Address _ Permit Fee �D �> <br /> City,State, Zip r '-`� '-- '�� ��F' . Connection Charge�s) 1 <br /> Owner (Mortgagor) ' �i��L��i� .�,� Total Fee �i �O <br /> ..�' ✓ <br /> BillingName ' ��' � �'- � � '� <br /> Connection By <br /> Address Signed <br /> Customer <br /> PIIOfIP, <br /> DESCRIPTION: � s-8O SewerDistrict_ � <br /> Lot�— Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description �qonthly Sewer Constr. <br /> /� Trunk <br /> Type Permit: � �(,e/ t.,df/�//GC��/ /✓ <br /> Laterel <br /> Remarks: <br /> Ab�tting Lot Line <br /> h� g, E, W ft. <br /> Approved By <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issue� By <br /> CALL 1�800-424-5555 48-HOURS <br /> PRIOR TO DIGG!yG <br /> CALL259$811FORINSPECTION <br /> Inspection By � C"6`"/""'" <br /> Datelnspected �� s-g6 <br /> SEE SKETCH ATTACHED Np, Z5378 <br /> I NSP[CTIO�� <br />