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W <br />City of Everett <br />Sewer Application and Permit <br />NO. 26022 DATE <br />Service Address 1901 Rainier (fQ6 ( .2os. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name City of Everett <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot _ <br />Plat <br />Unplatted Descr <br />Block <br />Type Permit: Repair <br />Utility Account No._ <br />None <br />Permit Fee <br />Connection Charge(s)— <br />Total Fee None <br />Signed. <br />Remarks: T_,8/-s iALL rz'aw <br />S' n <br />s,n. Fea <br />• 00C IAV ! tk - e2 <br />Ze Lv/r' Oe <br />IMPORTANT! <br />CALL 1-80OA24-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 25MB11 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N,S,E,W <br />Approved By ALFRED R. THEAL <br />Cily Enpmeer <br />Issued By. Margaret E. McLeod <br />nspection By - <br />,ate Inspected <br />No. 26022 <br />CUSTO.OER COPY <br />