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CHART N0. <br /> CYCfC11 <br /> .SE.uT To CN/Jc7..✓U /��db' <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> h� Z6SO1 DATE T�—�-.naro 4. 1'� - <br /> Service Address 1309 6th Et. Utility Account No. <br /> Billing Address �� Permit Fee le ea <br /> City,State, Zip �ett Wt 96201 Connection Chargels) <br /> Owner (Mortgagor) SEirl�v 6�ha�ta* Total Fee 10 on <br /> Billing Name �y - <br /> Connection By Aiaht 11av Pl�inq �� <br /> Address 5615 1S2nd 8t � Na+l. _ Signed �,���•r�)�' `� � � <br /> _ ��= ' cu:tortier I <br /> Phone 2S�-ieQ� — <br /> DESCRIPTION: Sewer District <br /> Lot Block— Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Perrtiit: <br /> Laterel <br /> Remarks: � �'G <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � i, G <br /> f� J i Approved BY ��" <br /> itY f9�neer <br /> � rv IMPORTANT! �n�}��a��i <br /> F '� :IG.C,� <br /> J Issued By �, , ti. l'. <br /> CALL1A00�424-555548-H � .��� <br /> PRIOR TO DIGGING <br /> 1 <br /> CALL 259�8811 FOR INSPECTION – - � <br /> Inspection By � <br /> Date Insoected_ ��f` — � <br /> � <br /> SEE SKETCH ATTACHED Np, 26501 r <br /> iN�PECTIGiJ <br />