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everetl , <br />e �� <br />City oi Everett <br />Sewer A�splicat�on and Permit <br />NO. ��' �' �' DATE March 18, 1986 <br />Se;vice Address 1601 Walnut 5%- <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By_ City of Everett <br />CHART NO. — <br />,.:. <br />�_--�,, <br />Utility Account No. <br />Permit Fee None <br />Connection Charge�s) _ <br />Total Fee None __ <br />Signed Don Miller <br />Cuslomer <br />DESCRIPTION: Sewer District_ <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Trunk <br />Re air <br />�'/ � � �,� ��� Lateral <br />Remarks: w f �, �^ � l-o <br />' �. Abutting Lot Line <br />O ,5,� `` T� P�coP.:+z �.c. N, S, E, W ft. <br />.� i � � � / i _ <br />IMPORTANT! <br />CALL 1-800-024•5555 46�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Approved By <br />Ciry Engineer <br />Issued By c= r,ra�nan <br />Inspection By_��.��«'�(�Y <br />Date I nspected c3— a�" �� <br />, r; „� <br />N0. JJc=J <br />C�UT'v�;�cR COFI' <br />