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everett <br />� <br />City oi Everett <br />Sewer ApplicQtion and Permit <br />CHART N0.— <br />,< �.,.� .,�: C�w.�;�. 8- �-B9 <br />rv0 Z649O DATE u�o�r 21. 1987 � <br />$ervice Address . Utility Account No. <br />Billing Address , <br />City, State, Zip <br />Owner (Mortgagor) • _ <br />Billing Name <br />Connection By <br />Address <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Deu;r <br />Type Permit: <br />Remarks: <br />Block <br />IMP�RTANT! <br />CALL 7500�24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee 30.00 <br />Connection Charge(s) 600.00 <br />Total Fee 30 00 <br />Speo3al tltilitq Fu Osd. 1171-PS <br />rstar 178.00 <br />iwaz �91.00 <br />650. <br />�� �� . .�.. . ,j i <br />Signed , - <br />cu:tomer <br />Sewer District mnd i <br />Monthly Sewer <br />Monthly Sewer Cunstr. <br />Trunk—�,r-rr'-��s�9i-fl�43nk88Hfr=mt'� t <br />Lateral �y�����3�qy <br />i'�1n5 7YJ.11l� <br />Abutting Lot Linet•iEU� ?2+.UU <br />N, S, E, Wu F� i;li x,;��. •n ft. <br />I; 5Nf,l � o3.:;U <br />E SGCN SS5.Q7 <br />L'di! "w"i >�C1.1 v'� <br />uax�vy�io <br />Approved By AF�i� R �ka� <br />�.�(y E�pine�u�lNl.l� <br />l��el_.'1 $C�).�� <br />Issued By Stl�Hgi�lFien <br />4h1TkT Ch.`AJ.[u) <br />i:liLt.f; P�4�J3. t0 <br />�� <br />Inspection By <br />Date I nspected %` _� �"`�'F <br />Ii�SP�CilO�: <br />No. 26490 <br />