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ICHAHT NO._. _ . . . — <br /> i cvcrett `j-p �5�1 NF. <br /> e _ �C� - 3-90 <br /> � �� City o( Everett � Q � s''� ��, 8 � � � S� <br /> 9H � - - � - - , ._ :• <br /> Cy � H I . ... r. - - . - ' - <br /> t' �y • • <br /> � �� <br /> Sewer Application and Permit <br /> H H _ <br /> � y� �� " _ ... ". - '. � - ' -'• ; : � <br /> ,.3 � H I NO. � / �J 3�� - .._ - DATE J�a 28' 1990 <br /> Z <br /> O Utility Account No. <br /> p r�i d Service Address <br /> n� g Permit Fee <br /> H Billing Address <br /> z y� Connection Chargelsl '"" ^^ <br /> � x � Ciry,State, 2ip <br /> '~ 'j Total Fee <br /> g � N Ovmer (Mortgagor) �'"'n1 "'' � '' <br /> i Ordlnend 1171-q5 <br /> �� � Billing Name " " vat�r 151.00 <br /> sevcr 400.00 <br /> Z �3 fn 552.00 <br /> '� � �' Connection By <br /> r'.",,,,,. <br /> ��� Address Signed c�vo�� <br /> Phone <br /> '�_ SewerDistrict �01Od z <br /> DESCRIPTION: <br /> ��' Lot Block Monthly Sevrer Service — <br /> Plat <br /> �.. Unplatted Description Monthly Sewer Constr. <br /> ��� Trunk u�•� <br /> j Type Permit: � <br /> 1 Laterai <90.00 <br /> i�� <br /> � I Remarks: Abutting Lot Line <br /> N, S. E, W �t. <br /> �,� <br /> Approved BY U� ��� <br /> I ' ' Gn E�� <br /> IMPORTANTI Iswed BY � ��" <br /> CALL1A00-024355548�HOURS <br /> PRIOR TO OIGGING <br /> CALL 2698911 FOR INSPECTION � y /'—'- <br /> Inspection By •' <br /> ir/s�v <br /> Oate Irnpected `� �� � �`� <br /> SEESKETCH ATTACHED <br /> No. 27799 <br />