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CHART NO. <br /> everett � <br /> � � . <br /> � <br /> � <br /> � <br /> City of Everett � g � g g g '� <br /> ° „ o o � o � <br /> .�. : .. w � .. <br /> Sewer Ap�alication and Q�rr�it � � � <br /> � - `� � � <br /> � � : <br /> Nc 26079 DATE ; ��,ri��� � sT� 'JS—= $ $ � <br /> Service Address '>�� � " Ld'��•� > f � � � 'J � � '7 Utility Account No. <br /> L <br /> Billing Address_�" 1 i /l, � ;�,. � 1 1 : � h ; . i Permit Fee /�1 ` <br /> City, State, Zip „ � �` 1 b-, I i . , '� Connection Chargels) <br /> L <br /> Owner (Mortgagor) i , 1 i l„ � r�r � Total Fee ' � - �� <br /> Billing Neme i' (.f i,: , ,• � i <br /> Cannection By <br /> Address Signed � / <br /> customer <br /> Phone — <br /> DESCHIPTION: Sewer District_ <br /> Lot 1 _ n I Block <br /> Plat ., ,„ . � : , (. .. I _ Monthly Sewer Service _ <br /> Unplatted Description � Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: � ..,; �, �tt l � � , /`– <br /> , � . � Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> — Appraved By <br /> Cny Enyinem � <br /> IMPORTANTI � <br /> Issued By j <br /> CALL 1�800A24-6666 48�HOURS � <br /> PRIOR TO DIGGING � <br /> � <br /> CALL 269�8811 FOR INSPECTION , <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED No. Zbn79 � <br /> I <br /> ir�!;t-r_c-� i��r�! � <br />