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CHART NO. __ <br /> everett • • ` <br /> e <br /> City of Everett (p �8' <br /> .�iCU% %O �-��'/FG.;i//? �'C 'a <br /> Sewer ,Application and Permit <br /> NO. �`��°�� DATE J� 19. 1986 . Z tt <br /> / <br /> Service Address qZ�� � us Ys Utility Account No. �1615: <br /> Billing Addrexs +�� ���ny Permit Fee F �� ti15.W <br /> City, State. 2ip,�«�Tr11 fp�Ot Connection Chargels)� a`Q'� <br /> Own�- (Mortgagor) g��..-- �uhr Total Fee �'�`�� �'`�'� <br /> SEI�{' �.30.fk1 <br /> BillingName e--- BF1�1T1 4:C�U.00 <br /> ClIFCt� °a^.:i0 <br /> Connection By �p��� <br /> Address_.���g��� Signed <br /> ustomer <br /> Phone �S�-••« _ <br /> DESCRIP'rIOM: Sewer District <br /> Lot 7`_ Block Monthly Sewer Service <br /> Plat_ e....�w� n+� TrT <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: � p�au <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, yy ft. <br /> Approved By �D �• �L <br /> Ciry EnOinen <br /> IMPORTANT! w��t B_ �y�� <br /> Issued By <br /> CALL 1500�24-5555 46-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8871 FOR INSPECTION <br /> Inspection Ey �'—�N"�'"�— <br /> Date l nspected � ���� _ <br /> SEE SKETCH ATTACHED ,,,o. 25705 <br /> INSP6C7lON <br />