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everen <br />�r <br />City of Everett <br />$ewer <br />rc <br />� <br />� � 4? <br />� : � c- <br />... ... .. <br />• • r -. • <br />�p�hc4tion aru� P�e�rmrt <br />, , . -_ <br />J-t����_Y'.ii <br />2�i�'13 _�-�;;_ <br />Np, DATE T+3v 6 1a90 <br />Service Address 3C10 aoyt <br />Billing Addr�:ss 3810 xovt <br />City, State, 2ip �ntt KA <br />Uwner (Mortgagor) �r�+ C�art <br />&illing Name S� — <br />Connection By —�-- <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />RemarY.s: <br />Block <br />Cap o6f <br />IMPORTANT! <br />CALL 1-500-024•5555 48-HOURS <br />PRIOR TO DIGGING <br />CAI_L 259-8811 FOR INSPECTION <br />SEC SKETCH ATTACHED <br />CHART <br />TU t�'o$TiN Cn <br />�- zh -90 <br />Utility Accaunt No. — <br />Permit Fee S 2 50 <br />Connection Charoe�s) <br />Total Fee S2.5o <br />Signed_— <br />i;ustomer <br />Sewer District <br />Monthly Sewer Service_ <br />_ Monthly Sewer Constr. <br />— Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W� <br />Approved By s�N*�'r�+ r_ un�rurr <br />Ciry Engmeer <br />Issued By Patri�Y��Hei^ — <br />Inspection By �"'"��� <br />Date Inspected__ �// y� <br />No. 27813 <br />.�. ,__. , �i);�d <br />