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evereH <br />� <br />City of Everett <br />Sewer Application c�nd Permit <br />N0. LSV�2 DATE �T 6. 1986 <br />Service Address s�� ' �3� �►b � <br />Billing Addres� ��� ' 33M �►w W <br />CitY, State, Z�p L�r�tt. ip 98204' <br />Owner (Mortgagor� �• �� <br />Billing Name �• �� <br />Connection <br />Phor,e <br />CHART N0. <br />�f•✓T 7b C's/q,cs..✓c <br />G/ a�9c <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge(s) 720.00 <br />Total Fee 30.00 <br />Si�Q1a1 la�. oedinaea� t!!be 1171-95 <br />5650.00 <br />Signed ��f/ - _�.,_-�.,,( � <br />� • Customer <br />DESCRIPTION: Sewer District_ <br />Lot �7 Black � <br />�, ,1 <br />Plat �-;vi�-+� r ��, ! Ic: � �p-, MonthlySewerService <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1$00�24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />App; oved By �� a' �'� <br />City Enqineer <br />Issued Bv__ ���t E. NaL�°d <br />Inspection By�� b� I'��� �+ <br />Date I nspected s—�-3 — �{� <br />No. 25642 <br />iNSP[CTION <br />