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CHART NO. <br /> everett <br /> � �� St"i✓� To C�.AS�.C7ilJC <br /> ,�, /0�2/y 6 <br /> � <br /> City of Everett � � �%�^ � � � � � $ � �� <br /> N <br /> -� ,ri �: .� �� ^+ ff] O � O O O ti <br /> `, � e u. �� �.�lr ui ti M � c I� <br /> `S <br /> -� E1 M �9 y <br /> Sewer �►p�plication and Permit � °' _ - - �' ; <br /> �o a <br /> .�, ..� o J � t,-� in <br /> r -~i :a j? J i e r �5 � .�. Ic-� t"..t � <br /> C�l a 2 ::= J i � C�I _. r.�.� C- l'J f- � <br /> ':� � J `�t,J � :Y O taJ .-� p <br /> 2�'J697 , :� _ � .z JO �ztiliu�'S .-r __ � _ <br /> N0. DATE _� �� � ,,,� _r-- <br /> Service Address � �� '- � '-� ��� � �"� ��--Utility Account No. <br /> BillingAddress_' �' } , � �-' � ,"�, PermitFee - - i __ <br /> ," , ;,-� � , <br /> City,State, Zip � ' � � ' � " � Connection Chargels) - - <br /> , �� <br /> Owner (Mortgagor) �--� � � __ Total Fee -- ' ' <br /> Billing Name ;'— <br /> `/ ,_— <br /> Connection By — -`�` <br /> Address Signed <br /> Customer <br /> Phone - " � -- <br /> � <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> � <br /> Plat ` <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � <br /> Type Permit: i <br /> Laterai <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> __ � <br /> — Approved By <br /> City Engineer <br /> IMPORTANT! <br /> Issued By -- — <br /> CALL 1-800-424-5555 48-HOURS :i� <br /> PRIOR TO DIGGING <br /> CALL 259�8671 FOR INSPECTION � <br /> Inspection By <br /> Date Inspected �` 7�� <br /> SEE SKETCH ATTACHED ND• 2�677 <br /> ��� �- <br /> IP�oi cC�IOi J <br />