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� CHAP,T NO. <br /> �ev�erett <br /> � <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 25628 DATE Aaril 28 1986 <br /> Service Address 1901 Lombard ��� Utility Account No. <br /> Bifling Address_ Permi*. Fee None <br /> City, St�te, Zip Connection Charge(s) <br /> Owner (Nlortgagor) Total Fee ��one <br /> Billing Name <br /> Connection By CitV of Everett _ <br /> Signed Don Miller <br /> (�ddfESS — Customer <br /> Phone <br /> DESCRf PTI ON: �ewer District <br /> Lot _ Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description —_Monthly Sewer Constr. <br /> — -- Trur.k <br /> Type Permit: Repair <br /> — Lateral <br /> Remarks: .����. Abutting Lot Line <br /> `_/ S' � o� �/.�. � ? N, S, E, W ft. <br /> `� n-L/' � � �(I� F�J C . <br /> � <br /> — Approved By <br /> City Engineer <br /> IMFOR'iANT! S. Grannan <br /> , ,ssued By <br /> CALL 1-800-424-5555 A8-HUURS <br /> PRIOR TO DIGGING <br /> CALL259-88�1 FOR INSPECTION / <br /> / . <br /> Inspection B — <br /> Date Inspected � �X- �� <br /> . <br /> SEE SKETCH ATTACI-'EQ N0. � � � t� <br /> Cl_�S;�OPAE(� COPl' <br />