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CHART <br />everPtl <br />� <br />City of Everett <br />Sewer Application and F�ermit <br />No. 27310 DATE F,aptae�b�r e, 19t19 �_ <br />ServiceAddress �nir �u�w �. � Utility Account No._ <br />Billing Address — <br />e�llew� <br />City, State, Zip <br />Owner (Moitgagor) <br />Billing Name <br />Connection By �••������-- <br />DESCRIPTION: <br />Lot <br />Plat _ <br />Unplatted Descr <br />� Type Permit: <br />I <br />I Remarks: <br />I _ <br />f:I <br />IMPUR7ANT1 <br />CALL 1-800�424�5555:9�HOURS <br />PRIOH 70 DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�.�E7JT 'Ta RSST�iV6 <br />1 I �l /yU <br />Permit Fee 10 00 <br />Connection Chargel <br />Total <br />Signed �� r' rm •tw�K me'u���••N� �.t,: <br />Caslomer <br />� � <br />I�aKk'; "t1U <br />'.;C1.7_F' ! ILI.�IO <br />SewerDi;trict . ,,. <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral__ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By A*r cn R ►,r- <br />Cny Enpinee� <br />Issued By 9uay ttaua•� <br />i ' <br />Inspection B� � �� — <br />Datelnspec[ed_ 7� -� -- <br />N,,. 27310 <br />V <br />