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CHART <br />everett <br />e <br />City of Everett <br />Sewer Application cnd Permit <br />N0. �vvLL DATE 1���t 30 1988 � <br />Service Address _ Utility Account No. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />Phone <br />i ,' <br />� - -� <br />:; �_ -�, , (la �_. �,� % � �-3 <br />,. <br />Permit Fee 10.00 <br />Connection Chargels) � <br />Total Fee <br />Signed <br />cmtorner <br />I1� I�tr't"-{ LI):l'i{Itl �ICX.�1111-1 7:l i��- <br />:�t;i7i�'�i....d <br />DESCRIPTION: Sewer District ��7� L�.0 <br />lot so Block , yll:.'�rS <br />Monthly Sewer Serv�'�� .��� �hi <br />Plat �+� - , � iWd ki2Qi11 <br />Unplatted Description Monthly Sewer Con��,� j�.��. �� <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�BOOd24-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259$671 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk Cilai ',S:i.Ckl <br />t :C io �• <br />Lateral �'�-�� � �� A'."f' <br />� :ra: 3,ti..a� <br />C ��U� rt�.u�) <br />Abutting Lot Line�,�.,,p,�� �;,��,�b_) ft. <br />N• S� E• W ' ... , ., , ., , <br />ApproVOd By LIB'8ED n mo�r. <br />City Engmeer <br />Issued By bLw �' ^"' <br />��. � <br />Inspection By <br />Date I <br />IlJ�P6CTION <br />r-i-�s <br />NO. 268L� <br />