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CHART <br />everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />NO 27168 DATE MW 9 1989 <br />3Y.3y <br />Service Address 3J6 federal Utility Account No. <br />Billing Address Sam <br />City, State, Zip Ott, va 26203 <br />Owner (Mortgagor) overavee <br />Billing Name 84110e <br />Connection By Day a rla ilby <br />Address 1"00 av1► !f Lynnotood <br />Phone 775-"" <br />DESCRIPTION: <br />Permit Fee 10.00 <br />Connection Charge(s) <br />Total Fee 10.92 <br />Signed customer <br />Sewer D <br />BEN i -M r-040R00 <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />05/IN/89 11:29M U M M96 W9 <br />Type Permit: <br />Remarks: <br />(/J <br />IMPORTANTI <br />CALL 1.800424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />WOOOZ7160 <br />Lateral SFUER iin.nn <br />rpy1l t10.00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved By City naineer Engin a TMAT, <br />ssued By <br />Inspection By C.'sr�B�i`ew.+ <br />Date Inspected <br />INSPECTION <br />NO, 27168 <br />