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CHART NO._. <br />� everett <br />. e <br /> City ot Everett <br />. Sewer Application and Permit <br /> N0. Z67 r 6 DATE Jnlv !7. 1988 <br /> i Service Address �013 8c1.t Utility Account No. <br /> Billing Address <br /> �s =, mrqL� Permit Fee 2•50 <br /> City, State, Zip � ��_' �� �=77 Con�ection Charge(s) <br />' ��= pmlopo�nt Totai Fee �•50 <br /> pwner (Mortgagor) ' <br /> 8illing Name sW <br /> Connection Byr. s� 0'Etisn <br /> � , � ' --- <br /> Address � 5�3� � 3�rd A~" M. Signed ^�. � c�:�o�� <br />� Phone 353-2454 _ <br /> DESCRIPTION: Sewer District <br /> Lot 74p•5' o! 8 Block 11 ^^/ ?: 1 OQp{�EiS682 �1'� <br /> Monthly Sewer SerOiiti� � £�7 � <br /> Plat ��_ �� OD' � � <br /> Unplatted Description Monthly Sewer Coni���� L3.`A <br /> Trunk t��"'�6 <br /> Type Permit: <br /> E :�CH <br /> Lateral f: 5F.Ct4 !3•54 <br /> qfj06�'.U527 <br /> Remarks: �� Abutting Lot Line� � ��'� <br /> 0 <br /> N t�, S, E, W ��"6 ft. <br /> �� y f� HUCA:'tii�S . <br /> 5E1�' 42.`.� <br /> �ODikb77b <br /> . ��p <br /> Approved By. , <br /> gineer <br /> IMPORTANT! Issued By' Susv aaaeen <br /> � CALI_ 7-800�24•5555 48•HOURS <br /> PR�OR TO DIGGING <br /> CALL 259$811 FOR INSPECTION <br /> � Inspection By_ - <br /> — Date Inspectr.d <br /> SEE SKETCH ATTACHED <br /> N0. 26776 <br /> INSPECTION <br />