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everen <br />e <br />City of Everott <br />Sewer Application and Permit <br />N0. Z7O$9 DATE r.��sY?ar-1yY' <br />CHART <br />`��T 'ro t�5-nNE, <br />,i_ ��_b�t <br />Service Address ��K rtl�=al �n. Utility Account No. — <br />Billing Address �S 122nd Pl. es Permit Fee 2•SO <br />City, State, 2ip ��et, tu 9i203 Connection Charge�s) <br />Owmer (Mortgagor) �qla+ i L-vali Yomnlly Total Fee �•SO <br />Billing Name a+� <br />Connection By a+M . <br />Address � <br />PhOf18 ]'�i-0]Ol <br />Signed <br />Cusromer <br />DESCRIPTION: Sewer District <br />Lot 3�. Block ��� d2/28/89 1:4�11OOOA94G02 �t <br />Monthly Sewer Service� <br />Plat !]a! ot iwr�tt Dl� C pq'f0�171P, <br />Unplatted Description Monthly Sewer Con�r� g��y� <br />Trunk ��i714 <br />Type Permit: � �`� <br />+P <br />C oi� Lateral ��1��3:58� <br />Remarks: �� <br />Abutting Lot Line $E{rp? f2,gp <br />N, S, E, W N000�7088 ft. <br />5EUEF t7..iU <br />iK100F7�7 <br />SEWER t2.50 <br />CI�CH II18.00 <br />Approved By �� %�- �. <br />aty eoai�eer <br />IMPORTANTI <br />CALL 1�800�4245555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�SR(�T' FOR INSPECTION <br />if <br />SEE SKETCH ATTACHED <br />Issued By �� 8a►p� <br />Inspection <br />Datelnspected <br />I�SPECTION <br />No. 27089 <br />