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everen <br />e <br />City of Everett <br />Sewer <br />F: <br />� <br />� <br />� � � � � � :�� <br />� <� <br />L') t ai'• wJ � i d: m C 1 <br />A� <br />� <br />Applicatior�abc� er '�� ,. �� <br />;� r :� � � � <br />� 1r� ��i�� <br />� ������������a�� <br />CHART N0. <br />No. 27275 DATE a�+au�t 11 1989 _� <br />Service Address Utility Account No. <br />Bilflng Addre�s <br />City, SWte, Zip <br />pwner (Mortgagor) tt--- <br />Billing Name <br />Connection By <br />Addre� <br />phone <br />OESCRIPTION: <br />�ot 1-2 Block �— <br />Plat � <br />Unplatted Description <br />Permit Fee 2.50 <br />Connection Charge�s) <br />Total Fee 4.50 <br />SE,tirr ^�o P'mSTI� <br />ry• l• �'t <br />Signed c�:rome� <br />�p7�! <br />7ype Permit: ap oft , <br />Remarks: <br />IMPORTANT! � Y� / <br />CALL 1$00�424-5555 48•HOU RS <br />PRIOR TO DIGGING <br />CALL 259-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�� <br />Sewer Distnct _ <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved BY �►u'� ` '""�'r <br />Ciry Engineer <br />Issued By S�uv Hau <br />Inspection <br />Date I <br />IiJEFGLTION <br />No. 27`275 <br />