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everetl <br />� <br />City of Everett <br />Sewer Ap�slication ond Permit <br />No. 26107 <br />DATE �— <br />Service Address z Ob cl � l �,: <br />Billing Address. <br />City, State, Zip <br />Owner (Martgagor) <br />Billing Name <br />ConnectionBy � � ��_a� (=veYe..1—�' <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />�;� <br />c` :> <br />G"2� �i <br />—r. , � <br />Utility Account No. <br />Permit Fee <br />Connection Chargel <br />Total <br />Signed <br />CUSIORIEf <br />Sewer District <br />B!ock <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />u <br />S. �e <br />Lateral <br />'" — Abutting Lot Line <br />� S. 0^�� N, S, E, W. <br />� �PF� Y' O�%C— /S I �LPQ/� <br />,.�� �/io.n /YJ,f/ i�' o'7�`rl' <br />IMPORTANT! <br />CALL 1 �800-024-5555 48-HOU RS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Approved By <br />City Engineer <br />Issued By <br />Inspection B;� /� �� <br />Date Inspected 7��a — �� _ <br />No. 26107 <br />UTILITY �ILL!NG <br />