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CHART <br />everen <br />� <br />City of Everett <br />Sewe� Application and Permit <br />N0. Z��66�J DAI'E _�nr17 ��- lann <br />Service Address ��� -»>�* at p8 Utility Account No. <br />"TZ- r�sT���, <br />� - 10- �j <br />Uqil3/SO P:441B1luTi1�1111�+? tYit <br />/ <br />su�u��r�s <br />�.wr1� ��o.cx.i <br />(71f1.1! 9'.O.Ipi <br />Billing Address—��� Permit Fee._.�q„q�_—. <br />* �� q�2� Con��ection Chargels) <br />City, State, Zip�i �ra�lt, <br />Owner (Mortgagor) 7�L!aeiah Total Fee 3g,gg . <br />Billing Name <br />Connection By p�,��- — <br />Signed_ <br />Lustomer <br />Phone <br />DESCRIPTION: Sewer District <br />Lot_ Block_— Monthly Sewer Service <br />Flet _ - <br />Unplatted Description _ Monthly Sewer Constr. <br />Type Permit: � ppnneoLian - <br />Remarks: <br />IMPORTANTI <br />CALL 1A00-024�555548�HOURS <br />PHIOR TO DIGGING <br />CALL259881TFORINSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Abutting Lot Line <br />N,S,[,W _ <br />Approved By t �nar �nsennen <br />City En9ineer <br />Issued By * ti�» —. <br />� / : ;�',. <br />Insper.tion B � � <br />/ �. <br />Datelnspected ��_ — <br />rvo. 27665 <br />