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CHART N0. � <br /> • everett <br /> I <br /> I <br /> �ity of Everett <br /> Sewer Application and P'�rn'it � <br /> � <br /> No. 25960 DATE �v^mi.�� lo, inP6 <br /> Service Address Utility Account No. <br /> < <br /> I Bifling Address_— Permit Fee , <br /> ! <br /> I City, State, Zip , ` __ Connection Chargels) . <br /> � , <br /> Owner (Mortgag�r) Total Fee . � <br /> Billing Name — 57xcfal Utility Fee 1171-65 <br /> ' S ,471.AG , � � <br /> � ��J�s•o , •Arf �uQr,;{�.`8�5 P,-E.� <br /> Connection By_ — <br /> � <br /> Address Signed iii��).:SS�.0 <br /> cu�tA�, •!.?A.CiU I <br /> Phone - � -- - <br /> / - _ ' % � L'.11Dtit 5:�i�U.U(; <br /> i 1i1-5 ��i'li.CkJ <br /> DESCRIPTION: Sewer District �k����' :f;3t.�J0 <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> w conne on Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � Approved By i li <br /> i cer <br /> IMPORTAN7! I <br /> Issued By <br /> CALL1-800-424-555548•HOURS ' � � <br /> PRIOR TO DIGGING �//jy/F� I <br /> CALL 259-8811 FOR INSPECTION �d ""�`�� � � � ' <br /> i Inspection By n�o As/r�� i <br /> i <br /> I Date Inspected <br /> iSEE SKETCH ATTACHED Np, 25960 <br /> I INSP[CTION � <br /> I � <br /> I <br /> I <br /> � <br />