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� CHART N0. _ <br /> everett .. <br /> � JEAfI %O CH/�/'7//UI �/���S�g� , <br /> City of Everett <br /> Sewer Applicatj�n and Perrvyit <br /> i , �; <br /> N0. �S.r�.71 DATE . I_" !� ' _ �-�^ <br /> Service Address 1 ' S'�� � �� � �< �S C� Utility Account No._ <br /> Billing Address � -: ,� (/" � - ;. •- %/�C�'--"�� ',. ..�Permit Fee � <br /> /~; � <br /> City, State, Zip ' ' ( ���/� /�. ��L� ' Connection Charge(s) -_ . _ `� J—^ <br /> ,� , .- � <br /> Owner (Mortgagor) !� ' '�' ' � i� Total Fee �� ! <br /> BillingName � ill '— . _ �._.j • Jc ;,� _ r/ ;: � I <br /> Connection 8y � "' '-" _ ` <br /> Address _ Signed <br /> '� . � i� Customer <br /> Phone - "�" ' : ..- - , � <br /> DESCRIPTION: Sewer District Y-=`---- <br /> Lot --' � Block <br /> Plst 1� �:. Monthly Sewer Service_ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: ' (� Trunk <br /> Lateral <br /> R�marks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �. <br /> Approved By _ i' `� � <br /> City Engineer <br /> IMPORTANT! <br /> Issued By �—�' � /�'l-i� :%%' <br /> CALL 1$00-424-5555 48-HOURS <br /> PRIOR TO DIGGING ✓ <br /> CALL259-8811 FOR INSPECTION � <br /> Inspection By� <br /> Date Inspected_ ��y��� <br /> SEE SKETCH ATTACHED No. 25571 <br /> [,"i•' <br /> I'..:� t:'.� ! �U:'i <br />