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CHART N0. <br /> everett <br /> e �� <br /> � g g �s � 38 <br /> City c�f Everott o q o ,� ,,5 <br /> .- .. � <br /> „ �� � M N � I <br /> Sewer Application anc� Permit �� .. `T � � � `� � � p �, <br /> ., � w � � � � � � � � <br /> No. 26476 DATE n.e.�aes �oai <br /> Service Address 1117 100th tt � �1�� Utility Account No. <br /> � �� <br /> Permit Fee �v <br /> Billing Address "�' - <br /> City, Stete, Zip ��« "� ��l�� ,��� Connection Charge�s) <br />� �ns�w Total Fee � ��'�� <br />'I pwner (Mortgagor) I <br /> I 8illing Name �� ------ � <br />' Connection By <br />� Signed <br />' Address cO7O1"°' <br />� Phone_. <br /> Sewer District *ma Iii — <br /> DESCRIPTION: <br /> Lot_ +��:-- Block Month�y Sewer Service_ <br /> Plet lfirny E�t�q� Mobil� Ne� l�rk <br /> I Unpletted Description Monthly Sewer Constr. <br /> Trunk_ <br /> 7ypa Permit: lU 8os Lateral I <br /> Remerks: Abutting Lot Line <br /> N, S, E, W ft. I <br /> i <br /> I <br /> � <br />, I <br /> Approved By �i1RSD R�""'s'*' _ i <br /> c��v e�o���� <br />� IMPORTANTI Issued BY ���t � ��� — <br /> CALL 1�800-424•665548•HOURS <br /> PRIOR TO DIGGING � <br /> CALL 2ti988N POR INSPECTION �� <br /> Inspection By ' <br /> I <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> No. 26476 <br /> � ��.irl-�['�: I �1;�'� � <br />