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evereft <br />e <br />City of Everett <br />CHART NO. <br />� � �$ <br />.; <br />.+ « `.�, � <br />h <br />Sewer Application ��d Permit �, � � <br />. .���-����� <br />� �� � y� <br />N0. Lv��v DATE 1lptilr�-S� 1987 � a� ui a� r3 <br />Service Address �? ��,�---- <br />Bil�ing Address_�--- <br />City, State, Zip yp �—.� +.. a.+�, <br />Owner (Mortgagorl y���„_���� <br />Billing Name�. <br />Connection By �� p��� ei�er <br />Address 7� +.—�, <br />Phone �}39jz <br />Utility Account No. <br />Permit Fee �� <br />Connection Chargels) <br />Total Fee_. �, � <br />Signed <br />DESCRIPTION: Sewer District <br />Lot �• 15' lot 13 Block �� lvi_14 <br />Plat 1�M* se� r�.r Monthly Sewer Service <br />�L1.ir�r�it <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />�- f- � <br />IMPORTANTI <br />CALL 1�BOOd24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Li^e <br />N, S, E, W <br />gy N�sen c_ �acir <br />City Engineer <br />Issued By <br />Datelnspected <br />No. 26146 <br />INSPECTICN <br />