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Ieven�tt <br />�� <br />City of Everett <br />SE.wer Applicat <br />scrvice <br />ion and Permit <br />� � � <br />Fiilling Address <br />City, State, Zip_ ' ��' �! I! i��� <br />Owner IMortgagorl , ' �� � <br />Billing Name t-- _ <br />Connection <br />� ' . � <br />DESCRiPTION: <br />Lot _ r_ 81ock <br />Plat , � i," <br />Unplatted DescriptiaYi __ <br />Typa Permit: <br />Remarks: <br />1 <br />IMPORTANTI <br />CA:L 1A00�424-5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL269�881i FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART NO <br />,S C /t i� ' �) � %',2 / fj�? [i U'�. <br />7 <br />� <br />nt No. <br />Permit Fce o J a � <br />Connection Charge�s) ' <br />, � <br />Total Fee <br />�� �� � <br />� � - <br />/ ��� <br />5 <br />Signed __ <br />Cuslomer <br />Sewer District_ _ <br />Monthly Sewer Service__ _ <br />_ Monthly �'awer Constr. <br />— Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W__ <br />— e^��oved By <br />Cn� Enpmeer <br />I ISSUC(� By ___ <br />` <br />Inspection By "�����%��r / <br />� �' <br />Datelnspected �I�Zzlyga, �-.1 <br />No. 25575 <br />If .'f!,i'i .. <br />