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: <br />evereK <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 26699 DATE `�v 24 1988 <br />Service Address 10220 4th Ave. W. <br />Billing Address � <br />City, State, Zip �=gtt, NA 99206 <br />Owner (Mortgagor) �'�d �e <br />Billing <br />Sama <br />Connection By Y.en's Refziqaration <br />Address �othell <br />Phone <br />DESCRIPTI�N: <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Charge(s) <br />Total Fee 10.00 <br />; 1 ' -. . <br />Signed ' ' F `�� <br />Cusromer <br />Sewer Uistrict <br />Lot Block Monthly Sewer Service <br />Plat — <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024•555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W N• <br />G5%'�4IEti 11:w�Aii WL�iY�0�4; t"f-.: <br />"nGl��'.:u�i:�.p _. <br />�I:i:�: `SiQ.� <br />Approved By n�+�n R. `��*• <br />City Engineer <br />issued By G'�� �"�n — <br />Inspection By�1�"1� <br />Date I nspected �- � -Og <br />No. 26�99 <br />,.,.. - �.� <br />