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CHART NO. <br /> everett ���,`;i l-U C rb1 i�I NC, <br /> � c <br /> � ��-� -��� <br /> City of Everett � g ,�, � � <br /> $ o .- •r � <br /> ,� «. .. .r <br /> h� 1rT <br /> �'1 <br /> Sewer Application ar�d �ea��� _ <br /> � f� i' C� �j C•! Y � <br /> .�� � '�. � i.� `,-5�' `� b� <br /> 27416 � `� ' �" �"' <br /> N0. DATE `� yoti.b.r 27. 1999 <br /> Service Address_— �_ �Pl� sc, Utility Account No. <br /> Billing Address s� Permit Fee 10.00 <br /> City,State, 2ip ��tL, M71 98201 Connection Charge�s) <br /> Owner (Mortgagor) Juli� 11�cDoaald Total Fee 10.00 <br /> Billing Name � <br /> Connectior By_�bv ibp <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 /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By tt_��n n rwreir. <br /> Ciry Enqineer <br /> IMPORTANTI <br /> CALL 1-SOOd24•555548•HOUHS Issued By a�yy���tqyn <br /> PRIOR TO DIGGING <br /> CALL259-8871 FOR INSPECTION <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED N0. 27416 <br /> I�!S?GCTIGN <br />