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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. �v��� DATE �_ �0, 1989 <br />ServiceAddress �so r � .+. vi... nr_ <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) c.e�.n..�+.. <br />Billing Name <br />Connection By =- �...t�� <br />Phone ��-26�� (potssean) <br />CHART N0. <br />�_'�: � ,�c�C'r'��.- /,.:�� I 2-rc -sa <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Charge(s) <br />Total Fee 10.00 <br />i'�� J <br />Signed � <br />Customer ' " <br />DESCRIPTION: Sewer District <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By � R• �' <br />City Enqineer <br />Issued Bv y°��nt E. McLwd <br />Inspection By �v�""'-� <br />Date I nspected %� 7- �� _ <br />No. 26897 <br />INSPG(' i IOhJ <br />