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ICHART NO.__ (" <br /> everetl <br /> e � .- = <br /> � .� <br /> �, � <br /> � <br /> � � _ <br /> City of Everett � , s <br /> <- <br /> � <br /> SewQr Application and Pe�rmit � <br /> � . <br /> No. 2 5 4 3 U pA�E January 27, 19i36 = <br /> — U <br /> --1 <br /> 2501 Baker �' <br /> Service Address Utility Account No. !.^ <br /> Billing Address Permit Fee None .. .. <br /> � � <br /> «. .1 <br /> City, SU�te, Zip Conr.ection Cha• ��s) _ '^m <br /> t .ne - - — "'�i <br /> Owner (Mortgagor) Total Fee <br /> -�c <br /> Billing Name � <br /> -r z <br /> x -� <br /> Conrection By City of Everett _ �' .. <br /> o z <br /> Don Miller � _ <br /> Address _ Signed _ _ ,.., <br /> Cuslomer --� V1 <br /> Phone �` �+ <br /> � � <br /> DEgCRIPTION: Sewer District =� <br /> Lot Block �' in <br /> �lat Monthly Sewer Service o r <br /> c� m <br /> �nplatted Description � Monthly Sewer Constr. � '^ <br /> z [7 <br /> Trur,k ��^ <br /> 7ype Permit: Repair > <br /> A <br /> Lateral _ s <br /> --__—_ A <br /> Fdmarks: � _ <br /> ' �y- ' � ,4butting Lot Line = <br /> �'=.:�_s.�;� �_ N, S, F, W_ _ ft. �, <br /> _���_.__� �//. 'd z <br /> 0 <br /> �aS� �-cy4PL• J/J /,�f'jL_1`' � <br /> m <br /> ___ A. R. Theal <br /> Approved By _ _ <br /> Cny EnOmea <br /> IMPORTANTI e. aona <br /> Issued By _ <br /> CALL tA00-024-555548-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION ^ <br /> Inspection By��� <br /> _ Date Inspected -' - /� "�G <br /> SEE SKETCH ATTACHEO Np, (� J 4 � tJ <br /> CUSTOf,"Gft COPY <br />