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CHART NO. <br /> evereH' <br /> e <br /> City of Everett �_<.�T rv CAF�T�✓�i <br /> 7-/`f/�-'` <br /> Sewer Applicction and Permit <br /> Na. 25330 DATE �= 1!. 1985 <br /> 2710 eee�AraY Utility Account No. <br /> $ervice Address_ <br /> Billing Nddress <br /> T.O. Do: 1207 Permit Fee 2•� <br /> City,State, Zip �� �' 9���� Connection Chargels) <br /> Owner (Mortgagor) ��� �nt Total Fee 2.50 <br /> Billing Name <br /> Ccmnection By <br /> Address Signed <br /> � ' '� I � � . ` <br /> cu:tomer <br /> Phone ��-5731 <br /> DESCRIPTION: Sewer District <br /> Lot iY– h 2! Block 6� <br /> Monthly SewEr Service <br /> Plat � <br /> I)nplatted Description _Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: r�p.�lf <br /> Lateral <br /> Remarks: �-n�� o � Abutting Lot Line <br /> �, �,.> ,. N, S. E, W ft. <br /> � <br /> i <br /> I�. 1. 'tfNal <br /> Approved By <br /> Ciry Enqinen <br /> IMPORTANT! s. ro.e <br /> Issued By_ <br /> CALL 1500-024�5555 46-N.OURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOH IkSPECTION // <br /> Inspection�✓ '��/f�`"`— <br /> I Date I nspected �r 8 � — <br /> SEE SKETCH ATTACHED No. 25330 <br /> INSPECTION <br />