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� � � <br /> � � x <br /> C H <br /> � xHti <br /> yzH <br /> o�H � CHART NO. <br /> � �' � everett _ i <br /> z .. <br /> H C7 -= <br /> �� g � I <br /> =, <br /> zyH � City of Everett �� � ��� � g =: 1'0 PGSTING__ ►-Z&-93 I <br /> t' H 2 �: c, � ���. ;: <br /> `r <br /> � d y 5e�wer Applaccation ���! permit . <br /> � I <br /> � W :, �.- ,s � .= . .� I <br /> yocyn I 27cJ�.,'� DATE ' � r�er� 12, '��' — �I <br /> N0. � <br /> 93JJ 12t:t .1vc. ii. „�,� ,��_ Utility Account No. <br /> I <br /> Service Address 4 I <br /> Billing Address <br /> 1::1'10 ;3fi 8t13 5t. £200 PermitFee 3'�•�� I <br /> �eilevue, .7a 980Q3 Connection Charge�s) Collect-c-Q oa �`27495 ' <br /> City,State, Zip I <br /> ",:.lcl..ti �'oni �.iuities Total Fee ��•���� � <br /> ,� , ,� ,- <br /> Owner (Mortgagor) i <br /> Billing Name 'aI'e <br /> I <br /> Connection By �u=nam Const. I <br /> ' � Address S�'•'��'• Signed � <br /> Cusiomer <br /> ��' Phone_ �'-'-'�'� �I <br /> � Sewer District ';��`1 IrI � <br /> � � DESCRIPTION: ' <br /> � � Lot Block Monthly Sewer Service I <br /> � I Plat � <br /> '�� I Unplatted Description Monthly Sewer Constr. ii <br /> 1�' Trunk I <br /> � Type Permit: �1��+ �on�tection I <br /> ' Lateral II <br /> �' Remarks: Abutting Lot Line <br /> '�. — N, S, E, W ft. I <br /> � I <br /> ' ' i <br /> � I <br /> �� <br /> I <br /> � APProved By i�LP.^.�;D ?2. i^;'a?L <br /> ' — Ciry E�B��cer I <br /> � <br /> IMPORTANT! Issued By `u'Y }Taucfen ' <br /> CALL 1-800-424�5555 48�HOURS <br /> PHIOR TO DIGGING <br /> I <br /> CALL 259-8811 FOR INSPECTION � ��/ <br /> jInspection By��..v �� �--'` "5i' I <br /> � Date Inspected ' � � �� � <br /> 2'!513 '�� <br /> I SEE SKETCH ATTACHED N�' <br /> � <br /> If�'6'?GC"flUi�! i� <br /> � <br />