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i <br /> � <br /> CHART N0. <br /> everetl <br /> e � <br /> City of Everett � � 53 SR �R, R <br /> � � � � � �' <br /> � <br /> Sewer Application an� � .. � ^ <br /> � , � � <br /> � � � � <br /> No. 2T526 DATE � �2, 1990 <br /> Service Address 1ae� r �y�� Utility Account No. <br /> DillingAddress ���� r .e....wr v.� _ Permit Fee =.SO <br /> City,State, Zip r��_���tll� �� °�117 Connection Charge�s) <br /> Owner (Mortgagor) � *•w Tatal Fee =.SO <br /> Billinp Name �--- <br /> Connection By -- <br /> Address Signed <br /> Cuslomer <br /> �10�18 <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unpletted Description � •���;, M:nthly Sewer Constr. <br /> �rr� 'hcaot�, Dit tb 2, �o�pt Tru�k <br /> Type Pe�:�O� � �� <br /> G eft Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> rtY npi em <br /> IMPORTANTI M+rq�r�t t Mc�oA <br /> Issued 8y <br /> CALL 1�800-024•6655 48•HOURS <br /> PRIOR TO DIGGING <br /> i <br /> CALL 269-8611 FOR INSPECTION j� <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED NO. L�JZv <br /> I N,^,Pf:CT10�J <br /> I <br />