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evereri <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART N0. <br />� e,�..� �it'G...�,�. 8- �-89 <br />N0. `v4g0 DATE u�orb�r 21. 1987 � <br />Service Address Utility Account No. <br />Billing Address�} � <br />City, State, Zip � <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />�10f18 <br />DESCRIPTION: <br />Permit Fee 30.00 <br />Connection Chargels) 600 <br />Total Fee �0 00 <br />Spaalal LJtilit� !w Oed. 1171-85 <br />wt�r 17l.00 <br />�awr s71.00 <br />c- .��p�j <br />� � <br />�____� /� ����1:� .,��r <br />Signed " <br />Customer <br />Sewer District �� I <br />Lot Block <br />Plat Monthly Sewer Service — <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarlcs: <br />IMPORTANT! <br />CALL 1�800�245555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral ��q�a�Ml�e <br />PL�i 34S.pU <br />Abutting Lot Liney�pq �;.y,(10 <br />N, S, E, W� �� �w+ A1�30 ft• <br />R SRCH 9�3.5i1 <br />F SRCFf �15.La1 <br />Od`�i1fPi i+�''O.tA <br />uawz�+v� <br />Approved By � g- � <br />[#�9' E'P�"�lhfXJ.00 <br />1171-5 Sb�(1.W <br />Issued By� gi+��* <br />IdATFR 2<550.Ci(1 <br />GiEG; i'..1403.1Q <br />4 <br />Inspection By <br />Date I nspected %" -� �'�'�� <br />INSP6CTIOfV <br />No. 26490 <br />