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CHART NO. <br /> everen � <br /> e y <br /> :s <br /> } <br /> 9 <br /> City oi Everett r � 8 � 3 � d � 4' <br /> " � ;�' � � � �' �' � <br /> Uti M O� M H .� <br /> u <br /> M <br /> Sewer Application and Pe�n�it � '� � � <br /> ti � � ' � � � � � � <br /> H J <br /> No. 26463 DATE D�a�W! 1. 19� � � �4 ' 3 � '_' � W :� <br /> Service Address 1117 — 100th Bt BN �l]E Utility Account No. <br /> 10.00 <br /> BillingAddress �� _ Permit Fee <br /> City,State, Zip �rtt. 1/J► 9E20� Co�nection Chargels) <br /> Owner (Mortgagor) <br /> EAvin lalmo+r Total Fee L0.00 <br /> Billing Name <br /> Connection By <br /> Address_ Signed <br /> cw�omer <br /> Phone � <br /> DESCRIPTION: Sewer District sena =II <br /> Lot 1� Block Wlonthly Sewer Service_ <br /> Plat f���]' �uw� �+1L Narr Park <br /> Unplatted Description Monthly Sewer Constr. <br /> _ - – Trunk <br /> Type Permit: <br /> Lateral <br /> Remerks: Abutting Lat Line i <br /> N S, E, W ft. <br /> I <br /> Approved By ���� �' �' I <br /> CItV Enpmen <br /> IMPORTANTI �rqae+t =, �ol.� <br /> Issued By <br /> CALL 7�800�424-665648-HOURS <br /> PRIOR TO D16GING , <br /> I <br /> CALL 259�8811 FOR INSPECTION I <br /> I <br /> Inspection By — <br /> Date Inspected � <br /> SEE SKETCH ATTACHED No. 26463 i <br /> I <br /> If J�,I'f Ci Ir�i;d I <br />