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� r- <br /> ^ i � I CHART N0. � � ' - " <br /> everett <br /> e � - <br /> City oi Ererett <br /> Sewer Application c�nd Permit <br /> No. � 5 6 `= � DATE Ma��_ 12. 1986 <br /> Z <br /> n <br /> � <br /> Service Address 9A7 q Col hy �/� _ Utility Account No. �, <br /> m <br /> Billing Address Permit Fee Nnnr <br /> -� �n <br /> City,State, Zip Co��nection Charge(s) ,,., � <br /> N S <br /> f'1 <br /> Owner (Mortgagor) Total Fse. _ Nnnp _ � �� <br /> mo <br /> n <br /> Billing Name o m <br /> -i z <br /> Connection By�i�y of Fvarrtt _ m '� <br /> o z <br /> Address Signed ^on Mi 17 Pr _ a � <br /> cu:roa+e. r x <br /> Phone � "' <br /> � <br /> o � <br /> DESCRIPTiON: Sewer District _ " ; <br /> -� m <br /> Lot_ Block <br /> Menthly Sewer Service __ �";;, <br /> Plat o <br /> or <br /> Unplatted DescnHtion Monthly Sewer Constr. c ,"'„ <br /> s v+ <br /> m <br /> — ` lrunk = �' <br /> Type Permit: :� m <br /> Re�nair a <br /> Late�'ai ^ <br /> L.�.S�'.�LL�l7 .r/ " ' _ � <br /> Remarks: ���`� f ,�i y C�,/_d,✓. To <br /> —� �--�� utting Lot Line i <br /> ��o. �'S (s D+F /�.Z A/, 0 6'�f./� ,ff N, S, E, W ft. _ <br /> N <br /> Z <br /> O <br /> - ' � <br /> n <br /> APProved By m <br /> Ciry Enpinee� <br /> 1MPORTANT! <br /> Issued By_ S, Grannan _ <br /> CAL L 1�800 424-5555 AB-HOU R S ' <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION <br /> Inspection By-r���c�4�ll�(dla� <br /> Datelnspected S- /fo � �� i <br /> SEE SKETCH ATTACHED N0. 2 �� �- � � <br /> CUSTOMER COPY � <br /> J <br /> � <br /> i <br /> � ' <br /> J <br />