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everett � cHART No. _ <br /> � <br /> City of Everett SF�.- '° cv�r'er."i° /o/zs�ao <br /> Sewer Application an�l Perr�it <br /> No. 25696 <br /> DATE ay���n�}�g� <br /> Service Address � :' � ''' '�i i `� -r `, �_ Utility Account No. <br /> Billing Address ���r�aT�t�� Permit Fee�� <br /> City, State, Zip �yeRett 6l1�-9f3�F4 Connection Charye(s)�.�� <br /> Owner (Mortgagor�,_�ddAe gel y Total Fee <br /> Billing Name —�,ame Spectal Sewer Fee� Ord, 1171-85 <br />, Nater 179.D� <br /> Connection By Senter A7] ,00 <br /> 6�0.DD <br /> Address. Signed <br /> Customer <br /> Phone�C.� C,,,,, �� <br /> �. TJ�_T_ � <br /> DESCRIPTION: Sewer District <br /> Lot T� Block <br /> Plat Monthly Sewer Servir.e <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> iV, S, E, W ft. <br /> Approved By_ �� Theal <br /> Ciry Engmeer <br /> IMPORTANT! <br /> I CALL 1-800-024-555!,48-HOURS �s5ued By e rrannan <br /> PRIOR TO DIGGIMG <br /> CALL 259-8811 FOR INSPECTION ~- <br /> Inspection By \ <br /> Date Inspected � � <br /> SEE SKETCH ATTACHED No. 25696 <br /> I f�i:i P ii C i'!O�\� <br />