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everen <br />e <br />City of Everett <br />Sewer Application and Perrnit <br />N0. �v699 DATE utsv 24, 1989 <br />Service Address 10320 4th 7►tr�. q. Utility Account <br />Billing Address sw <br />City, State, Zip ��tt, 111► 98206 <br />Owner (Mortgagor) u'Y� �� <br />Billing Name �a <br />Connection By �'� :�lsi�nration <br />Address ��il _ <br />Permit Fee 10.00 <br />Connection Charge(s) <br />Total Fee I0.00 <br />Signed i � � . ' �=-- <br />Cusromer <br />DESCRIPTION: Sewer District <br />Lot _ Block <br />Pfat <br />Monthly Sewer Service. <br />Unplatted Description _ Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�00-424•555548-HOURS <br />PRIOR TO DIGGING <br />CALL25!a-8811 FOR INSPECTION <br />SEE SKETCH ATTACNED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />fi5!2fi/BEi 11;47Fii i�fh7(IN�'r�=i rl �'t <br />itCiX]26 :�15' _ <br />4C4KP, 3.'.O.C�1 <br />Approved By iHMilin tt_:lQr�, <br />City Engineer <br />Issued Ey.�y A.,r�n <br />Inspection By l� �/„ <br />Date I nspected �" � '°g <br />rio. 26699 <br />INSPECTION <br />