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� -�+ <br />' �eyeretl <br />e <br />City of Everett <br />�� <br />Sewer Application and Permit <br />No. 2�77?5 <br />DATE a � � q � 9�`� <br />Service Address � � � � � � � <br />Billing <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By � 1�`J O F �- Ue �f � <br />ICHART N0. � �'� �`r S <br />Utility Account No. <br />Permit <br />Connection Charge( <br />Total <br />$igfl0d Customer <br />�10�1C <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service. <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: �� <br />� e �- // r�.� a <br />H / � <br />�,�� e�' N e •�ry.�-= <br />�Y�.zi ��+ � /r,�11 � ^ � /�_ <br />. .. � .� ,1 n .r.t4 �. <br />IMPORTANT! <br />CAL L 1500�424-5555 48•HOU RS <br />PRIOR TO DIGGING <br />CALL 259-681OFOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued By�..!'�' �� �' � l �a r <br />/ �Inspection By' � � — � <br />Date Inspected � — � ! — / � <br />' No. 27775 <br />CJSTC�.�ER CO?1•' <br />