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��� <br />O � x <br />C H <br />�Hfn <br />H�H <br />�H� <br />yV]H <br />x <br />�HC <br />OH <br />��g <br />�r n <br />�H� <br />f�i� y <br />ge� <br />�r�sy <br />H f/� <br />HOm <br />everett <br />� " <br />�c <br />City of Everett � �? z s '' �- <br />? c ^: _ c g <br />- r ;; i^ <br />.. .. �w . � , <br />' io <br />Sewer Application an�! P�e�n�# <br />� i�:c,:y -:� •.:�;t.. <br />o '.�'3��'��5�� ";•`: <br />275fi7 „ _�����:�� #�,� <br />NO. DA�E LL_rch 4 1990 <br />Service Address��}�--g�—{�--- <br />Billing Address , <br />City, State, Zip <br />Owner (Mortgagor) ' <br />Billing Name <br />Connection By <br />Address <br />� <br />Phone 337-11'+1 <br />DESCRIPTION: <br />Lot <br />?lat <br />Unplatted Descriptio <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FUR INSPECTION <br />SEE5KETCH ATTACHED <br />CHART N <br />S'P,r�� � pvs��r.� %-�—p/ <br />Utility Account No. <br />Permit Fee 30.00 <br />Connectiun Chargels) Co2lected on 927566 <br />Total Fee 30.00 <br />Signed : ' <br />c�:�o�„e� <br />Sewer District Hond iii <br />Mon[hly $ewer <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Lir�e <br />N, S, E, RJ <br />Approved By arsaen x. Tt�r•ar. <br />City En9ineer <br />Issued By Susy t'asqen <br />Inspection B� --�ji(�—�� <br />� <br />Date Inspected /�/i� <br />No. 27567 <br />WSPGCTION <br />