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everetl <br />e �- <br />f <br />C� <br />City of Everett � � g <br />� � ;? <br />w � <br />S�wer App�ication an�l Permit <br />9� ��� <br />N0. L�oO� :�w f DATE �.hIDn-29,-1�on <br />Service Address 209 - 112ih st sa _ <br />Billing Address �_ " " -- <br />City, State, Zip *t..*.eL,�� oa�na <br />Owner (�Aortgagor) z�-�.. ai.M. <br />Bi�ling Name " " <br />Connection By .� ._.___� <br />Utility Accou�t No. ___ <br />Permit Fee�______ <br />Connection Chargel�) — <br />Total Fee�p,ep___ <br />LID 729 <br />Signed / <br />CESCRIPTION: Sewer Di;trict <br />Lot — Block <br />Mo �thly Sewer Service. <br />Plat ____ <br />Unpletted Description Manthlv Sewer Constr. <br />T�rpa Permit: <br />Remarks: <br />IMPUflTANTI <br />CALL t-800-024�555548�HOUHS <br />PRIOR TO OIGGING <br />CALL'269-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />T <br />4butting Lot Line <br />N,S,E,W. <br />Approved B��_ t�ow rni <br />C�ry Enpmeer <br />Issued Bv J Ipckwell <br />� ��'" <br />Inspection By� � <br />Date Inspected �' � <br />No. 2T800 <br />�f::i�'LCllli�: <br />