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CHART N0. <br /> everen --ro posnti.c� <br /> e : �,a_�o <br /> City of Everett � 4 4 � <br /> ¢ c -, .: <br /> � Y � <br /> Sewer Appl a�ion and Permit <br /> , �� �` �; <br /> NO. G r 72`�" � � ~ DATE Mav 1. 1990 <br /> Service Address 1ese7 y�r n.� a r. __ Utility Account No. <br /> Billing Address 672o piaaina a�ad Permit Fee�.11�_— <br /> City, State, Zip �1°tx, x7� y8203 Connection Charge�s) - <br /> Owner (Mortgagor) C'l�sk Iticker� Total Fee 30 00 <br /> Orflin�aca 1171-85 <br /> Billing Name e` 1sv�= only <71.00 <br /> Connection By �^-r <br /> Address __ Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District -- <br /> Lot Block - Montlily Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W it. <br /> Apprc�;ed By <br /> Ciry npineer <br /> IMPORTANT! Issued By �.yrackr�ll — — <br /> CALL 1-800-024-5555 4�•HOURS <br /> PfllOfl TO DIGGING <br /> CALL 259�881t�FOR INSPECTION � �� E.� � � %// <br /> i/ <br /> Inspection By �-.—� ,��-- <br /> Date Inspected �/�/9i� <br /> SEE SKETCH ATTACHED NQ• 2772J� <br /> Ii�SPECTION <br />