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everetl <br />e <br />i <br />City of Everett ^_ - <br />�_' �", 'G i <br />Sewer Appiication and Permit <br />No. 2 5 9 4 4 DATE October 30. 1966 _ <br />Service Address 3527 Wetmore �- � / <br />Bill:ng .4ddress <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By City of Everett __ <br />CNART <br />Utility Account No. <br />�, �� . 21� <br />l`� y , <br />' ` , .i :, r;C (/� . <br />� r ��. <br />, `. <br />Permit Fee None — <br />Connection Chargel <br />Total Fee <br />Signed Don Miller <br />cu:tomer <br />DESCRIPTION: Sawer District <br />Lot Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-BOOd24-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, �N. <br />Approved By <br />Ciry Engineer <br />Issued By � � <br />Inspection By � � �� � � <br />� <br />• . /' c <br />Date Inspected <br />NO. ����� <br />JUS70PAEfi COPI' <br />p <br />