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CHART NO <br /> evered <br /> e :: _ _ _ <br /> .i�f;. <br /> a _,,, r� C',.:ic. -�+i': <br /> � <br /> City of Everett � � � �.[�S � � �p �� � =' ; <br /> 4 � � Li� M .L-�i C�; � � � � (� <br /> ��) <br /> ' .v ni se ..: <br /> � �1 • � � e._. <br /> Sewer Appl�cation v�� Per��t � � �, _.. <br /> �. .. �: �, � � -� i r: <br /> ? � ., .. . r:� %:; <br /> = � � �� �f� � � w � � ' <br /> ^!. � �.i �7 GJ U.� � �. � ..j <br /> No. 25658 DATE - ' � /��sl' � <br /> Service Address � � � / �' , 1' � Utility Account No. , <br /> Billing Address ' •'��' - ' i -- Permit Fee - _ <br /> : ' i i -i�;�:'!� � ,`:�� Connection Chargels) <br /> City, State, Zip_ � <br /> �� <br /> I . ' " ':; � Total Fae -. `' - <br /> Owner (Mortgagor} � . __ %' <br /> - - � � _� <br /> , , , � � . i �'_ <br /> Billing Name - i� <br /> � <br /> Connection By ' <br /> Address Signed Customer <br /> Phone ' /- ; .. _ - -- " <br /> DESCRIPTION: Sewer District =�='" <br /> Lot ' � Block � - Monthly Sewer Service_ <br /> Plat - � "" — <br /> Unplatted Description Monthiy Sewer Constr. <br /> _.-- <br /> Trunk � <br /> Type Permit: �' �:_.-- <br />� Lateral_ — <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> -� ri ' <br /> — Approvecl8y_ ' <br /> Ciry Engineer <br /> IMPORTANT! ;�r,,;�� - � <br /> Issued By � <br /> CALI_ 1-800-424-5555 48-HOURS , <br /> PRIOR TO DIGGING <br /> CALL 259-8611 FOR INSPECTION � <br /> Inspection By <br /> Datelnspected� — <br /> SEE SKETCH ATTACHEn Na. 25698 <br /> li�!�f'GCTION <br />