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evereft <br />e <br />City of Everett <br />,—, <br />Sewer Application and Permit <br />No. 2625� DATE �iy �, i9s� <br />Service Address ay�k, pukilt,�o &1� <br />Billing Address <br />City, State, Zip <br />2312 - 136th P1 6H <br />Lpnnrood, itA 98037 <br />Owner (Mortgagor) �g� y �s <br />Billing Na <br />Connection <br />Sawe <br />Sane <br />7�5-970� <br />DESCRIPTION: <br />Lot 4 Block <br />Plat-- � rti..�.. vi.c t¢o •at�n4) <br />Unplatted Description <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800d24•5555 48•HOURS <br />PRICri TO DIGGING <br />CALL 259•8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Charge(s) <br />Total Fee 10.00 <br />O�e acoount !70. 72274-4 <br />Signed - <br />cu:tomer <br />Sewer District send z <br />Monthly Sewer Service v�yf.,q <br />Monthly Sewer Constr. <br />Lateral 0'?/l;i(3i 8:57FiH UOOAH61i5 ktGk <br />Abutting Lot Line���;"`5i <br />N S E WS[1iEk SiU.00 ft. <br />��;� <br />SEOJER ?�.`",�7 <br />t:tkk)1L�5�7 <br />8 SRCH 33.`d1 <br />u�:+oto."� <br />Approved By ,5����;�� _ <br />f 1ty:EnqineM� J.�.� <br />Ul <br />iillat 033.W <br />Issued By NAM+j�rl�-('�;j,�d <br />L !,7�Y:11 915. [h7 <br />f:'f.°,,4J'd 1�^.U.UI] <br />C;! � �47.W <br />Inspection By-� <br />Date Inspected �� �-�� <br />No. 26`L5'l <br />INSP[CTION <br />