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everen <br />e <br />City of Everett <br />Sewer Application �and Permit <br />CHART N <br />,� �a:C�=�� �/�g�SB <br />N0. Lv�vO DATE July 14 1988 I <br />Service Address 2018 Virginia Utility Account No. <br />Billing Address <br />gayN Permit Fee 10.00 <br />City, State, Zip �r°tt, xA 98201 <br />Owner (Mortgagor) M��• FO�°° <br />�iilling Name <br />Connection By �i�'s Sackhoa <br />Address 1<Ol 258th St, sx l�rliagion _ <br />Pho�e 535-6t05 <br />DCSCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CA L L 7�800-024-5555 46�H0 U RS <br />PRIOR TO DIGGING <br />CALL 259A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Connection Charge� <br />Total Fee 10.00 <br />Signed c�:�o�. <br />Sewer D <br />Monttily Sev�°' <br />Monthly Sewer Constr. <br />D7it4it3�J `.'�13�tltlIflSNlply:li K1tY <br />Trunk <br />Lateral ��k816U _ <br />t • <br />�-iSfi 410.(�7 <br />Abutting Lot Line <br />N, S, E, W ft' <br />Approved By �aPn R �rnrat. <br />Gry Engineer <br />Issued By Svav IIa�,�an <br />Inspection <br />Date I <br />C�ax�ii�i ,, <br />?_/I -fd <br />NO. 267V� <br />