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CHART NU. <br /> everen <br /> e �:.�t ��. ��<<z��^�j <br /> s,�_s � <br /> City of Everott <br /> Sewer Application and Permit <br /> No. 27033 DATE J�nnnas�. 9, 1989 <br /> � <br /> Service Address Utility Account No. <br /> Billing Address �y ���� �� p Permit Fee_ . <br /> City,State, Zip, Connection Charge�s) � __ <br /> Owner (Mortgagor) Total Fee <br /> Billing Name e� �11ty D�lopwnt M oeA. 1171-85 <br /> Nt�e 179.00 <br /> Connection By �--- �r �71.00 <br /> � �� fj'50.00--� <br /> Address Signed -' "- / ' / f%- - % �� G/ <br /> uqomer <br /> Phone_ ..+ .«. <br /> DESCRIPTION: Sewer Districc 01/1a^1kN's91�3r! OUOftN4(►i4 tt4c <br /> Lot 11 Block p � <br /> Plat �.._ .._. Monthly Sewer SenlfYMl^iZs� <br /> NLIN) fi67.15 <br /> Unpletted Description hionthly Sewer CorrtbG R45.W <br /> ilClxl f T7.50 <br /> Trunk 1+ SR[.11z70_�B.SD <br /> � Type Permit: � p�1aq E 9PC11 t15.W <br /> Lateral UfrJHY 4S0l40.0.7 <br /> Remarks: IIQOOOd165 <br /> — Abutting Lot Line�lTfR l45U.00 <br /> _ N, S, E, W��� ' .� ft. <br /> HFD I1 5720.OD <br /> 1171-:5 {65Q.OD <br /> I:FIE(Y; �2638.15 <br /> Approved By u.rntn i_ �r. <br /> cftv Enpinen <br /> IMPORTANTI <br /> CALL 1A00�424•666548-HOURS Issued By_ Bu�v_y�yQen <br /> PRIOR TO DIGGINO <br /> CAIL 269ANt FOR INSPECTION � � <br /> ,� � ' i <br /> Inspection ��.,, <br /> Datelnspected � <br /> SEE SKETCH ATTACHED No. 7033 <br /> INSP[CTION <br /> � <br />