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I <br /> I CHART N0. — <br /> Ieveretl <br /> �� � TO POSTiNG?,lsl� <br /> , <br /> j City of Everett - - - , <br /> I : .. , <br /> � Sewer Appliccs�ion ant� Permit � <br /> � : . . _. _ _ _ - _ ° _ _ _ <br /> IN0. ���`�" DATE Dec�rher 2o_• loso _ __ _ <br /> Service Address �+� -, na�--- Utility Account Na. <br /> Billing Address __�.�_Q=�— Permit Fee �p nn <br /> i <br /> City, State, 2in xlrkland, �IA 900D] Connection Chargels) <br /> I Owner (Mnrtgagor) g�ri�a Pacific _ Total Fee �p,en <br /> I <br /> il Billing Name s�� <br /> I Connection By �� �� — — <br /> j Address_ bu� Signed <br /> c,�:�om.� <br /> I Phone _ — <br /> � OESCRIPTION: Sewer District <br /> Lot Block —— I <br /> Monthly Sewer Service <br /> i Plat — i <br /> ! Unplatted Description __ _ Monthly Sewer Constr. <br /> � — Trunk <br /> � Type Permit: <br /> '� Lateral _ _ <br /> I Remarks: <br /> Abutting Lot Line <br /> i <br /> N- S� E• W--- —it. <br /> � - <br /> � <br /> _— --------- APProved By -�;;'{,:.�— <br /> � ��v �,9��ea, <br /> i IMPORTANTI <br /> Issued By _g�y_ <br /> �I CALL 1-800-024-555548�HOUAS <br /> PRIOR TO DIGGING <br /> �" <br /> � CALL 259�8811 FOR INSPECTION /� ' r---�, <br /> Inspection B��f�'.f'`��/ <br /> ! -- - - _ _ --- - / � <br /> j _,_ Date Inspected__�_��„! '�i�r�' <br /> — — - � A q <br /> � SEE SKETCH ATTACHED N0. G��`�H <br /> I <br />