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CHART N0. <br /> everett <br /> e <br /> ICity oi Everett <br /> I <br /> Sewer� Application and Permit <br /> N0. 26688 DATE <br /> . <br /> Service Address�� � Utility Account No. <br /> Billing Address Permit Fee le_nn <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgagor) Total Fee �e_ne <br /> Billing Name _. <br /> Connection By <br /> Address�x Signed <br /> O--/I�b7�.�'�i�d:-- ca.rome, <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lo: 1/� Block iPo�J9itlrl ,so{�N UOC41N[IbHO U'It <br /> Plet Monthly Sewer Service; <br /> —�-�t� IMI�M IfNYi Y� <br /> Unplatted Description Monthly Sewer Con�jR� ���„��� <br /> NiMXUI�ibE)4 <br /> Type Permit: — Trunk �y���y ���� 1M� <br /> �x��;��e <br /> Lateral y��o ��V a <br /> Remarks: H.hMkUl'i4 <br /> Abutting Lot LineYll� iltl.l�J <br /> N, S, E, W�«Mh1011IU _ft. <br /> l�'i.2U �10.1M1 <br /> -- IVIf:I N S1 P.,.fMi <br /> Approved By <br /> � v �o��e« <br /> IMPORTANTI <br /> CALL 1�BOOd24-666548-HOURS ISsued By a.•�_u.....�.. <br /> PRIOR TO DIOGIN3 <br /> CALL 269�8811 FOR INSPECTION <br /> Inspection By � <br /> Date I nspected. I <br />� <br />� SEE SKETCH ATTACHED NO. Z6688 <br />'i � I N,f'�"I ;; i I U P.; �� <br />