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CHART N0.___ _____ <br /> everen <br /> e � <br /> City of Everott <br /> � <br /> Sewer Application �nd Permit � <br /> � <br /> 26286 � <br /> N0. DAl'E �lK�a, �aa� ,._ I <br /> Service Address � Utility Account No. I <br /> Billing Address Pe�mit Fee �n_nn I <br /> City,State, Zip_�� Connection Chargels) <br /> Owner (Mortgagor) Total Fee �n m <br /> Billing Name I <br /> Connectinn By I <br /> Address Signed <br /> c�:�o�� <br /> Phone- �»—z�za <br /> --- I <br /> DESCRIPTION: Sewer District I <br /> Lot u Block _ <br /> Plat ralsvas Srtit�� Monthly Sewer Service_ _ I <br /> Unplatted Description Monthly Sewer Constr. I <br /> Typa Permit: Trunk � <br /> � <br /> Lateral i <br /> Remarks: i <br /> — Abutting Lot Line <br /> N, S, E, W ft. � <br /> IpJ'U4�1� .'t5e�'H IXlOtallt�qSP 1t{I <br /> qUM1�J10 t4 <br /> t�ri.�� sio.ixi <br /> Hpproved By � <br /> F .}Yj npineerstn.(� <br /> IMPORTANTI t1UM1U'i':�iW <br /> Issued By <br /> CALL 1�800d24-6655 48�HOURS ��Ln„� <br /> PpIOR TO DIGGING ��.�x, i�� �� <br /> CALL 269�8811 FOR INSPECTION �allAMit51r, I <br /> f.Lll Q2�.OU � <br /> InspecNon By �y�{7� i>>• pp ' <br /> I <br /> Date Inspected I <br /> SEE SKETCH ATTACHED Np, ZGZSs i <br /> If�l`,:P(�CTI(�;! <br /> i <br />