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everett <br />.e <br />City of Everett <br />Sewer Application <br />NO. 26432 DATE <br />Service Address 2711 raaaral <br />Billing Address ga.. <br />CHART NO. <br />Q .r ,� O-. • U� <br />and Pew' <br />ti <br />City, State, Zip e..r.0100P ■a ee2M <br />Utility Account No._ <br />Permit Fee 10.00 <br />Connection Charges) <br />Owner (Mortgage-) aaAaataa 1.trateasTotal Fee 10.00 <br />Billing Name ■... <br />Connection By, a.. <br />Address a --- <br />Signed <br />Cu,tomer <br />Phone---333r J7i <br />DESCRIPTION: Sewer District <br />Lot 15-16 Block 619 <br />Plat =.aratt ni. Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: alteration <br />Remarks: <br />IMPORTANT! <br />CALL 1.800-424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Latera <br />Abutting Lot Line <br />N, S, E, W, <br />/2-16-66 <br />Approved By RZiiRR ALrRED R. TNZAL <br />City Engineer <br />Issued By Suer Raagen <br />Inspection By/� <br />Date I nspected I- '0i <br />No. 26432 <br />INSPECTION <br />