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CHART N0. <br />everett <br />� <br />City of Everett <br />,5� t�lT �� �ST� �19� <br />� l- 2 � -e�`r <br />Sewer Application and Permit <br />N0. G�G�� DATE June 13. 1989 � <br />Service Address 4ppo��,�� Utility Account No. <br />Billing Address �--- <br />City, SWte, Zip g���_�Oi <br />OwnerlMortgagor) ..� .. w+.� -- <br />Billing Name -- <br />Connection By <br />Address <br />DESCRIPTION: <br />lot <br />Plat <br />Unplatted Descr <br />Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL 1SOOd24•555F 48-HOURS <br />PR�OR TO DIGGING <br />CALL 259�8811 FOq INSPECT�ON <br />SEE SKETCH ATTACHED <br />Permit Fee <br />Connection Chargels) <br />Total Fee <br />Signed / <br />Customer <br />Sewer District <br />Monthly Sewer Service <br />L'p/l:i'li4 ,'71;2('ii (X)l1'ik:.:'f'^ �CkXi <br />Monthly Sewer Constr. . <br />i{tNkl_ : �: i -. <br />Trunk �;t .�r_�=u La] <br />��i'Fkl +1U.C�i� <br />Laterai <br />Abutting Lot Line <br />N, S, E, W <br />Approved By �'�D R. TfiFsi. <br />City Engineer <br />Issued By susv Fauaen <br />/ <br />Inspection By � <br />Date Inspected �� � <br />No. 27213 <br />i^:`.:PGCTlOPd <br />1 <br />