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everett <br />� <br />City of Everett <br />� <br />Sewer Ap��l�cation and Permit <br />CHART N <br />� -�� <br />- r / ��'-� /—��/ <br />_;-'_..(-;1;r��!'lt�;'', r � <br />No. 27195 DATE M�o zi,�9a� � <br />Service Address 9611 ;�«* s�� cv _ Utility Account No. <br />Billing Address_�— <br />City, State, Zip �^^-�tt, wn 9t3209 <br />Owner (Mortgagor) T--�� _�� MAreha Q cr�y <br />Billing Name R - <br />Connectian By_ +� � n�,ckhoe <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Bl�ck <br />IMPORTANT! <br />CALL 1-500-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8871 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Permit Fee 30.00 <br />Connection Charge�s) xone <br />Total Fee 30.00 <br />Signed <br />� t ,i.u'i{'}I �l�il�i��i�.�i4 4i.�-. <br />Sewer District �`oh�'Y�I �.,�Ifpf <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk - <br />— u. :. . _ . . _ . � <br />/ <br />Lateral -,., �,� <br />!,�:b)f:_ .� 5,'•O.C�1 <br />Abutting Lot Line�.i;Cil; s37.l.?� <br />N, S, E, W ft. <br />Approved By ALFa.ED c THFAL <br />CitV Enginecr <br />Issued By 5asy�uauaen <br />�/ <br />Inspection B � <br />c <br />Date Inspected <br />, <br />No. L i�� <br />li.., .._.i':,� <br />