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everett <br />e <br />City of Everett <br />Sew�r Applicat <br />No. 27345 <br />_: <br />� <br />* <br />� <br />_ s s� � � <br />;� v; �, Q " � <br />,� «� �6 <br />ion ar�c�P�r�it, � � � <br />� ����� '� �Q� <br />a �__,������� <br />DATE Oc�ber 5, 1989 <br />CHART NO. <br />��ps�3�� ���Q� <br />[�6� ��G wc �w �i d v� <br />� �� M M N M <br />� , � <br />��� 4 S <br />3��-����5�� <br />�Z�1�c��` �L'�m3 <br />Service Address Utility Accaunt No. <br />BillingAddress -- +..� __ Permit Fee 2 <br />City, State, Zip �.+.++�gp��s <br />Owner (Mortgagor� — <br />Billing Name <br />Connection By M��t�� <br />Address <br />Phone <br />DESCRIPTION: <br />lot 2�–�o Block�21 <br />Plat �y �.. � ..._ . <br />Unplatted Description_ <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1500-024-5555 49•HOUqS <br />PRIOR TO DIGGING <br />CALL 259�8911 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Connection Charge�s)_ <br />Total F <br />Signed <br />Customer <br />Sewer District North �nd <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved By •r r.n R �xaT. <br />City Eneineer <br />Issued By su,�y��yp�n <br />I nspection <br />Date I <br />I��!SY6CllUN <br />3 -/t - 9� <br />No. 27345 <br />