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CH4PT NO. <br /> everett ' <br /> e �. . � - � <br /> � � <br /> p C __ <br /> (�.I�l Ot EV@f8tt c_� _"� <br /> c- <br /> i.:' <br /> c, . <br /> Sewer Application and Perm�t ;; <br /> � : <br /> No. 2 5 415 DATE _ 1/15/86 _ _ — <br /> 6AK�.R <br /> Service Address 1822 G�B _ Utility Account No. <br /> Billinp Address Permit Fee None <br /> City,State, Zip Connection Charge�s) <br /> None <br /> Owner (Mortgagor) _ Total Fee _ <br /> Billing Name <br /> COn!1eCtiOn By City of Everett _ <br /> Don Mi7.ler <br /> Address_ _ Signed <br /> c��:�ome, <br /> Phone <br /> DESCRIPTION: Se•,ver District _ <br /> Lot Block <br /> Plat _ Mr.nthly Sewer Service ti� <br /> Unpletted Description__ Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Repair <br /> Lateral <br /> Remarks: � ���� �R- <br /> 4��''� � �'�'"`' S- '•• •"• Abutting Lot Line <br /> .�.�n .x./ S,� �.a: S �D .� /�6 � �!/. N, S, E, W ft. <br /> /1� f� �:+.. /f�� � <br /> Approved By n• R. Theal <br /> C�iv EnOinen <br /> IfJIPORTANTI E. sond <br /> Issued By <br /> CALL 1-BOOd24-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL259A811 FOR INSPECTION <br /> Inspection By�,67� e-z <br /> _ Datelnspected /--/G-� ,P�� <br /> SEE SKETCH ATTACHED N0. 2 J 41 J <br /> CU:;;'Q'„cR COPY <br />