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CHART NU. <br /> Ieveretl <br /> � ', z� ,:���NS <br /> c s-�a-�o <br /> :J <br /> � <br /> City of Everett F '^-'', � <br /> o � <br /> � Sewer �►pplication��r;fd Permit <br /> 3 iT ��`'- <br /> �.'� 1M L� J <br /> No. 27609 DATEf 1�arch 12- �990 <br /> Service Address . Utility Account No. <br /> Permit Fee 30.00 <br /> Billing Address <br /> City,State, Zip Connection Chargels) <br /> . <br /> Owner (Mortgagor)�r� ;,:y, <br /> Total Fee 30 GO <br /> Billing Name <br /> Connection By_ <br /> r+ddress�� Signed <br /> cu:lomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service — <br /> � Plat <br /> j Unplatted Description_ Monthly Sewer Constr. <br /> i <br /> Trunk <br /> Type Permit: hEr mneaction Lateral <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> — ) <br /> � <br /> Approved By att'P.E� n m�ruar. <br /> Ciry Enqineer <br /> IMPORTANT! IssuedBy susv e +q�n — <br /> CALL 1�800-024�5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259•8611 FOR INSPECTION �' % � j <br /> Inspection By <br /> Date Inspected � <br /> SEE SKETCH ATTACHFD No. 27609 I <br /> I <br /> If��FL'CTIGN ' <br /> � <br />