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everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 266�.9 DATE APril a, 198fl <br />Service Address 1+�s 19t* a• <br />Bllling Address �R��� - •��• TM -H�T <br />City, State, Zip 4tanvaod iiA 98192 ��52-7�/3 <br />Owner (Mortgagor) a�nrv a^f*�^ —_— <br />Billing Name � <br />Connection By <br />Address <br />Phone <br />DESCRIPTION: <br />Lot 1 c 2 Block 3�— <br />Plat st Ria�la� ]�dM. <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CA L L 1-SOOd24•5555 48-HO U R S <br />PR�OR TO DIGGING <br />CALL 259-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Chargejs) <br />Total Fee 10.0� <br />Signed '- <br />�ustomer <br />Nostb end <br />Sewer District <br />P�lonthly Sewer Service — <br />Monthly Sewer Constr. <br />aill9i EsC i 1:31a1i OC�ikC11.`; � !: i=: <br />Trunk % <br />'t10Utt15'ii07 <br />Lateral ���% `%'��•�j <br />F�1L(i x'�}j.(1!1 <br />Abutting Lot LineriLl'N 337.;�1 <br />N S E WI'LtI LN �l,3.:SR ft. <br />.., >.� <br />L :.!<GN <1S.(UJ <br />(�f?�qli' '.�.^.Il.l)D <br />;ii ;10'',i.53 9 <br />�CWc:R 'T(O,DO <br />Approved By AI,ffir(Z�t, �'AL <br />`�C'fy �n§inl=r .[IU <br />I�yll:�' ;GII <br />I,I�CI..I: �`.�'- .�j� <br />Issued By Mar�ret E 11cI.eod <br />Inspection By_�� °"�'' <br />Datelnspected / '���6� <br />IN�PECTiOP: <br />�o. zn�1s <br />