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' � CHART NO.- 4 / 7-� 9-S <br /> everett <br /> ���� <br /> e ,,g� <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 26116 DATE 10-7-87 I <br /> Service�address t3o4 Manle Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, 2ip Connection Charge�s) <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By r.icy �f F.VPTPYY <br /> Address Signed <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Typa Permit: Trunk <br /> Rapair <br /> Lateral <br /> Rema�ics: � ' �• <br /> Abutting Lot Line <br /> � N, S, E, W ft. <br /> I O <br /> s�,h �s 97 ` S mL �{ <br /> �ti ` ,. <br /> � Appraved By <br /> �'S 2 �. peoP��,-y u��� Ciry Enyinear <br /> IMPORTANT! Don Miller <br /> Issued By <br /> CALL 1�800�24555548-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8511 FOR IN5PECTION <br /> Inspection By <br /> Date Inspected �C�J � 9-8�] <br /> SEE SKETCH ATTACHEp No. 2 6116 <br /> CUSTOMER COPY <br /> a <br />