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ICHART N0.— _— <br /> eve�eri <br /> � .; <br /> City of Everett <br /> Sewer Application and Permit <br /> NU. 2`��2L DATE /���7/ 5�5� <br /> 1 /y � <br /> Service Address �U�U � �q r � �G� tilify Account No. <br /> /� �� q oZ 3�". <br /> Billing Address�(�•- '�'fZL Permit Fee <br /> City,State, Zip �� �'`� ���� Connection Charge�s) _ <br /> Owner (Mortgago(��-�n���i� �%J�/F' Total Fee o� �� <br /> Billing Name <br /> Connection By <br /> i <br /> l/ <br /> Address S�9�ed Customer `' <br /> Phone ��y � ��`'�` <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service_. <br /> Plat_ <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: , <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> /y � <br /> Approved By �l- �- l'�/ _ <br /> City Engineer <br /> IMPORTANT! �� �_, � <br /> ISSUCd BY �`'{: <br /> CALL 1�800-024•5555 48�HOURS <br /> PRIOR TO DIGGING <br /> CpLL259t811FORINSPECTlON <br /> Inspection By '� '� <br /> Datelnspected_ y �� -• 5 \� <br /> SEE SKETCH ATTACHED No. �5322 <br /> I ;r;s��c�ior� <br />