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everen <br />e <br />City of Everett <br />� <br />� <br />� <br />:L �? 4 � <br />r� <br />� � �� <br />' ' rmit <br />Sewer Appl�cation c�t� �� . <br />, <br />N0. ZI�i85 DATE � ����� <br />Japysrp 29, 1990 <br />Service Address ���� � ' ' — <br />Billing Address � <br />Clty, Stat , Zip �+ �r �+� �+�n3 <br />CHART <br />; <br />; .... ; ,, . <br />�'� �j� � 1 <br />lp ��Ti NL't <br />, <br />�'- �„�, � - I� <br />�. <br />Utility Accou�t No. <br />Permit Fee 30.00 <br />Connection Charge�s) KO� <br />pwner (Mortgagor) * c* �—att — Total <br />Billing Name — <br />Connection By G <br />Address — <br />Phone <br />30.00 <br />Signed !� <br />cu:tomer <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service <br />Plat _ <br />Unplatted Description N, hly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1 �BOOli24•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By 1►L!'RiD R. � <br />City En9ineer <br />Issued By Su�y Aanwn <br />Inspection By C ��/�"'� <br />pate I nspected_ � �v <br />N0. 274a5 <br />INSR[CTION <br />