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everett <br />� <br />City of Everett <br />Se�ver Applicatian c�nd Permit <br />No. 2647g DATE <br />Service Address 2321 Hogt Ata <br />Deced�r 4, 1987 <br />CHART NO._ <br />^t„� TD ;'r/A._.-:�/G <br />r� <br />� 'L��y.{ » �'` �- <br />.'�r.� YI� M r � <br />M <br />C- C_ 7 � <br />� <br />a'-x� ax <br />.. r,�, c4� � .. F, r �::; �. <br />� �� ."� � � � � <br />s i� .._ � -: S ._ u .. <br />Utility Account No. <br />Billing Address Permit Fee 2.50 <br />City, State, Zip Connection Chargels) <br />Owner (Mortgagor�_ ��� ���1i ���h Total Fee 2.50 <br />Billiny Name <br />Connection By B i B IMeking <br />Addre55 �a + e,w,�ai -�--..a unn�c <br />Phone 7��-o21t — <br />�ESCRIPTION: <br />Lot » n i� Block �A9 <br />Plat �erett <br />Unplatted Description <br />Type Permit• <br />Remarks: <br />� <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Signed <br />Customer <br />Sewer District <br />A9onthly Sewer Service. <br />Monthiy Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By 7�*-�Rh A. Yt�ar. <br />Ciry Enqinccr <br />Issued t3y Wraaret E MCLeod <br />i�/_�� E, <br />Inspection By � <br />Date Inspected ��-�� F7 —� <br />No. 2647�1 <br />Ii::�P[CTIO�v' <br />