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everetl <br />e <br />City r,f Everett <br />Sewer Application and Permit <br />No. 27196 DATE �+4 June 1, 1969 <br />Service Address_ Ban u n��_ Utility Account No. <br />Billing Address s1� ��« P..L Permit Fee Z•50 <br />City, State, Zip a h s h, mn aa�oo Connection Charge�s) <br />Owner (Mortgagor) n.� r� �+�•a�o� <br />Total Fee 2•50 <br />Billing Name <br />Connection By pob r � <br />Address v n n... i�aa �...+- �..�i,tt Signed <br />customer <br />Phone ZSII-36G7 <br />Us�oirss �: i�a, �rx�nr,�i�, ; � : s <br />DESCRIPTION: Sewer District � <br />Lot_ 81ock Monthly Sewer Servj�� �'"148 <br />Plat y�� <br />Monthly Sewer Con ��1� U�Z� 1: <br />Unplatted Description {, r,��;}{ �.C,��A) <br />�_ _�_ Lf{LCI: BF..,1U <br />Type Permit: Cap off <br />Remarks: <br />7 <br />IMPORTANT! <br />CALL 1$00-024-5555 48•HOURS <br />PPIOR TO DIGGING <br />CALL 253-6617 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By 1S.F'ItED R. TtiFAL <br />City EnBineer <br />Issued By S�Y llauaen <br />I nspection <br />Date Inspe <br />I NSP6CTI OPJ <br />No. 27196 <br />� <br />