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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 27168 DATE may 9, 1989 <br />3y3y <br />Service Address Abol Itedaral <br />Billing Address tiaew <br />City, State, Zip sett, X& 99207 <br />Owner (Mortgagor) ammoyee <br />Billing Name some <br />Connection By Day a trite llbg. <br />CHART <br />�Ew -M clt1�vo <br />Utility Account No <br />Permit <br />Connection Charge(s) <br />Total Fee 10.00 <br />Address INN NVY 99 Lyaerood Signed <br />Phone_ 775-64" <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />TVDe Permit: � .4. <br />Remarks: O ✓t <br />41 <br />IMPORTANT! <br />CALL 1-800424.5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />ti5/U9/LAY i 1* 2 M 000A#5696 M <br />i10007i loi; <br />Lateral (}1FR i10.(Yl <br />r ASIJ 00.00 <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By AiTttsn 0- <br />CityEngineer <br />Issued By t.tay F�ln <br />Inspection By �u <br />Date Inspected 57�/-/f <br />No. 27168 <br />INSPECTION <br />