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everetl <br /> CHART NO. <br /> I I <br /> � I <br /> � <br /> City of Everett i <br /> Sewer Appiication and Permil� <br /> NO. Lv90J DATE Octobor 2�, 19t30 <br /> � <br /> Service Address_�p�4 �b�r-�y�� Utility Accou�t Na. <br /> Billing Address�}g25 }9!}t ��� � Permit Fee_ 2.So <br /> City, State, Zip������T�� 98�Q5 Connectiosi Charge�s) <br /> IOwner (Mortgagor�*���� ����t�� Total Fee 2.50 <br /> Billing Name �_ <br /> Connection By_�oe <br /> Address Signed <br /> cu:romer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: <br /> Trunk 711,�'-y'86 4:3YF•n C�U�H3111 11�i'k <br /> , <br /> �f Lateral ����ll(A'i <br /> Remarks: � tiG=k1._G`.'�CY� . <br /> Abutting Lot Liney�.��2 YL.,� <br />� P N. S, E, W fNFft' id.6R� ft. <br /> APProved By avern n_ �,�y I <br /> City Engineer <br /> IMPORTANT! � <br /> CALL 1�800424-555548•HOURS �ssued By eu. _��� I <br />� PRIOR TO DIGGING I <br />' I <br /> CALL 259�611 EOR INSPECTION <br /> _ _ Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED N0. ��j9Og I <br /> IN�J'E:CiION I <br />