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� <br /> CHART NO. <br /> everett ' <br /> ��i✓T TC �f�a•f'I!7/G S/��5'7 <br /> � <br /> City of Everctt <br /> Sewer Applicatian and Permit <br /> No. 25135 DATE _Ay=11 7�1987 <br /> Service Address �1 a��Y Utility Account No. <br /> Billing Address 8� Permit Fee �n-no � <br /> City,State, Zip ��tt, iG1 98201 Connection Chargels) i� <br /> Owner (Mortgagor) ��+ �t— Total Fee ie nn <br /> Billing Name ea� <br /> Connection By �� �� — <br /> Address 1LG o�� id mr�e..ec__ Signed <br /> j _i` -•�� <br /> Cusiomer <br /> PhOf1B 7t�_97 S . <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N- S� E� .:Y---'��t�t <br /> _ , , <br /> / <br /> ItOlk32G135 <br /> 6Ebp:R OlU.l10 <br /> rv�{ A10.00 <br /> Approved By <br /> ��v �s��er <br /> IMPORTANT! <br /> Issued By <br /> CALL 1-800-024-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8871 FOR INSPECTION <br /> Inspection By �� <br /> Date I nspected �8'BZ—_ <br /> SEE SKETCH ATTACHEU N�• 4C��'3� <br /> I i�SPECTi Qfd <br />