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everett <br /> CHART NO. <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 26060 DATE Februarv 10. 1987 <br /> Service Address 71622 5111IK Lak! Rd Utility Account No. <br /> Biliing Address S+�e Permit Pee 10.00 <br /> City,State, Zip ErKltt. YA 9820A _ Connection Charge(s) <br /> Owner (Mortgagor) Mletel�tte N1qSQyn� Total Fee_ 10.00 <br /> Billing Name_ Sar <br /> Connection By Aes 11/rt Mostl� No�� SK1rce� <br /> Address-_ �-0_ seY IR ■kwwed� VA Signed <br /> cu:tomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot =�� Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot line <br /> N• S, E. W ft. <br /> U'2.'i(llfr' 3:S4Wf �iH3�9 kl`i: <br /> Approved By �IFlFB,R_ THEAI <br /> IMPORTANTI ��e� <br /> issued ey Sy����e�to.� <br /> CALL 1�800-024•5555 48•HOURS <br /> PRIAR Tn DIGGING �thk 36U.OU <br /> l�(iuJ�;051J <br /> CALL259$871 FOF� INSPECTION �;y�_� 41Q W <br /> Inspection By ���F� '�'� <br /> Date Inspected <br /> SEE SKETCH ATTACHED Np, ZSOSO <br /> IPISPCCTION I <br /> i� <br />