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everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 273b4 DATE a�� �0 1989 <br />Service Address <br />Billing Address <br />City, Sute, Zip.��-•� <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />Phone <br />DESCRIPTION: <br />�at Block <br />Plat <br />Utility Account No. <br />Permit Fee 10.^^ <br />Connection Charge�s) <br />Total Fee 10.^^ — <br />, -� � <br />( 1pr�Y1/� 435 I`1-'s: <br />Signed � -.� , � <br />c���t` 7'tf.h <br />6E4k.'� 41D.Ot1 <br />t�fl�G; 'itU.�O <br />Sewer District <br />Monthly Sewer <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-BOOd24•5555 48�HOURS <br />PR�OR TO DIGGING <br />CALL 259-6871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By , <br />citv n9me <br />Issued By <br />Inspection By�^"'`"��� <br />Date Inspected jO - �-�� <br />No. 27364 <br />IN�f6CTI0N <br />