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everen CHART N0. <br /> e � � � <br /> � <br /> City of Everett I � <br /> Sewer Application and Permit <br /> N0. Zv097 DATE <br /> Service Address— 1�27 – 100t� 8t 81f �16 Utility Account No. <br /> Billing Address !!!! 7�9� Nrr y9 Permit Fee_ �e ee <br /> City, State, Zip L�so�M� 1?� Connection Charge�s) <br /> Owner (Mortgagor) O:+sa�e�on�. xe... �a, Total Fee__ io p� <br /> Billing Name_�� <br /> Connection 6y_ <br /> Address Signed <br /> cu�tomer <br /> Phone— 776–Olel <br /> DESCR�PTION: Sewer District_ eoed Iii I <br /> Lot_ 3� Block — <br /> Plat Monthly Sewer Service I <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk I <br /> Lateral_ i <br /> ll'it':iq;' 't�lf'N IYL't1' ����1 <br /> Remarks: <br /> Abutting Lot linefNAX)1�Y��. <br /> N, S, E, WI'Lf,li t1U UO ft. � <br /> noax�cKx� <br />� r�rr.�r� tto.� <br /> [1JL af,5.f3T <br /> I :t 1. 1:',.(N) <br />� Approved By ]1t�/�D AV ir(�T i <br /> �M'MAi�B►a <br /> IMPORTANTI ;;itip���� I <br /> CALL 1AOOd24-6656 48•HOURS Issued By Mikiritrs atl^--'� <br /> PHIOR TO DIQGINa iNnndl`:.;44 � <br /> WiIILC 7Fd1.11�! � <br /> CALL 269-8811 FOq INSPECTION �i��L Ll l:i,q) j <br />, _ Inspection By I <br /> Date Inspected � <br /> SEE SKETCH ATTACHED No. 26097 I <br /> WSPPCIIOhJ <br /> I <br />