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� � <br />e <br />kt�� �� ._ : _ . . ' �r i. � , ' . .. <br />e erett = I �; � <br />' , ' <br />'� ' _ /-os7'ec� �2- 90 <br />City of Everett <br />..; � ,. - _.._. <br />4. � . <br />Sevder Application and Permit <br />� <br />NO. Z69HZ'..._ pq 1 r� – 1�–� <br />�� 3aia 19� <br />CHART NO.s� 2�' z 9" S — <br />� . . , . .. --� <br />Service Address <br />b I 7 �%IC.t01r � L. _ Utility Account No. <br />Permit <br />Billing Address <br />Connection Charge(s) <br />City, State; Zip <br />; � Total Fee�— � � <br />Owner'{Mortgagor) �, r� <br />�Billing Name � I �i : <br />;. � � �".I O � \Te.YE'1' � ,-• �;�' <br />Connection By til_,v ' <br />- • • -- Signed c��o�� � , <br />Phone <br />, <br />Sewer District <br />DESCRIPTION: <br />Lot�� Block�— Monthly Sewer Service <br />Plat — Monthly Sewer Constr. <br />Unplatted Descriptio� ' <br />Trunk <br />Type Permit: K� n�q 1 r_ <br />Remarks: ACe <br />�m I o O <br />w� � <br />"� or� n'�e s <br />o _ /N /I <br />�i �� � <br />�h � � <br />' �/7 V��'��' �/�IMPORTANT! � <br />CALL 1-800�424•5555 48•HOURS <br />� ` pRlOfl TO DIGGING <br />I� <br />CALL 259•f3811 FOR INSPECTION <br />Lateral <br />@ <br />Abutting Lot Line <br />N, S, E, W <br />qpproved BY <br />ciry e�gfoee. <br />Issued BY D o N M�r�A � <br />Inspection By � .�/� <br />'! �� <br />Date I nspected . <br />No. .26982 �. . - ; <br />SEE SKETCH ATTACHED <br />UTILITY BILLING <br />